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Search › Georgia › 171M00000X

Jacqueline Washington

NPI 1366775892 · on the registry since 2009 · sole proprietor

Practice

Address
116 Laughlin Dr
Locust Grove, GA 30248
Phone
(770) 833-2851
Fax
(770) 957-0522
Organisation at this address
Multi-Services And Community Supports, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-04-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia