Forman, Jodi Ellen
Forman, Jodi Ellen is an sole proprietor health care provider with primary practice located at 122 Cherry St Ne , Marietta GA 30060-7206. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Forman, Jodi Ellen can be contacted via phone (404) 272-4261.Contact Information
Primary practice address
122 Cherry St Ne
Marietta GA 30060-7206
Phone: (404) 272-4261
Fax: (770) 422-2302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2835 | Georgia |
Profile Details
| NPI number | 1245396217 |
|---|---|
| LBN Legal business name | Forman, Jodi Ellen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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