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NPI Code Detail

MEDICARE: MS. JENNIFER STOWE LCSW

MEDICARE: MS. JENNIFER STOWE LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerMSW004447GA
21041C0700XClinical Social WorkerCSW005104GA

General Provider Information

NPI Number : 1417189705
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER STOWE LCSW
Provider Business Mailing Address
First Line : 1430 STEPHENS DR NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3716
Country : US
Telephone Number : 404-245-6536
Fax Number : 404-320-7211
Provider Business Practice Location Address
First Line : 1430 STEPHENS DR NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3716
Country : US
Telephone Number : 404-245-6536
Fax Number : 404-320-7211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2009
Last Update Date : 08/18/2016

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Directions to “ MS. JENNIFER STOWE LCSW” Practice Location

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