| Therapeutic Connections | |
|
119 Autumn Creek Dr Dallas GA 30157-7186 | |
| (678) 542-7690 | |
| Not Available |
| Full Name | Therapeutic Connections |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 119 Autumn Creek Dr, Dallas, Georgia |
| Authorized Official Name and Position | Latiya Jackson Oshodi (OWNER) |
| Authorized Official Contact | 6785427690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Connections 119 Autumn Creek Dr Dallas GA 30157-7186 Ph: (678) 542-7690 | Therapeutic Connections 119 Autumn Creek Dr Dallas GA 30157-7186 Ph: (678) 542-7690 |
| NPI Number | 1659695286 |
|---|---|
| Provider Enumeration Date | 03/25/2010 |
| Last Update Date | 03/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659695286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003379 (Georgia) | Primary |
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