Fross, Jacqueline

Fross, Jacqueline is an individual health care provider with primary practice located at 222 Cherokee St Ne , Marietta GA 30060-1612. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fross, Jacqueline can be contacted via phone (404) 683-6415.

Contact Information

Primary practice address
222 Cherokee St Ne Marietta GA 30060-1612
Fax: (770) 977-9148
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 001562 Georgia

Profile Details

NPI number 1386633352
LBN Legal business name Fross, Jacqueline
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Mar 21st, 2017 - about 7 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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