MEDICARE: MS. JULIA HELEN STRONG 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
1	1041C0700X	Clinical Social Worker	CSW001756	GA

General Provider Information

NPI Number	:	1871653261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JULIA HELEN STRONG LCSW

Provider Business Mailing Address
First Line	:	1709 B CLEVELAND HIGHWAY
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30501
Country	:	US
Telephone Number	:	770-532-3247
Fax Number	:	770-532-4845

Provider Business Practice Location Address
First Line	:	1709 B CLEVELAND HIGHWAY
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30501
Country	:	US
Telephone Number	:	770-532-3247
Fax Number	:	770-532-4845

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	07/08/2007

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