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General NPI Number Information
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NPI Number | 1861636524
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Entity Type | Organization
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Legal Business Name | JLK CONSULTING & FINANCIAL SERVICES LLC
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Dates
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Enumeration Date | 04/26/2009
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Last Update Date | 04/26/2009
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Provider Practice Location Address
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Address Line | 1332 WOODLAND VIEW RD
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-7512
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Country | US
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Telephone | 770-337-2037
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Fax |
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Provider Business Mailing Address
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Address Line | 1332 WOODLAND VIEW RD
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-7512
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JENNIFER FOSTER
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Credential | LCSW
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Telephone | 770-337-2037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | CSW004032
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License Number State | GA
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