| Lori Jacks Lcsw Llc | |
|
6311 Mosswoods Dr Flowery Branch GA 30542-7514 | |
| (678) 689-5980 | |
| Not Available |
| Full Name | Lori Jacks Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6311 Mosswoods Dr, Flowery Branch, Georgia |
| Authorized Official Name and Position | Lori Jacks (SUPERVISOR) |
| Authorized Official Contact | 6786895980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Jacks Lcsw Llc 6311 Mosswoods Dr Flowery Branch GA 30542-7514 Ph: (678) 689-5980 | Lori Jacks Lcsw Llc 6311 Mosswoods Dr Flowery Branch GA 30542-7514 Ph: (678) 689-5980 |
| NPI Number | 1285568840 |
|---|---|
| Provider Enumeration Date | 06/10/2026 |
| Last Update Date | 06/10/2026 |
| Certification Date | 06/10/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285568840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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