Moss, Jacqueline Elaine
Moss, Jacqueline Elaine is an sole proprietor health care provider with primary practice located at 4411 Suwanee Dam Rd Ste 450 , Suwanee GA 30024-8706. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moss, Jacqueline Elaine can be contacted via phone (770) 283-8386.Contact Information
Primary practice address
4411 Suwanee Dam Rd Ste 450
Suwanee GA 30024-8706
Phone: (770) 283-8386
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW004481 | Georgia |
Profile Details
| NPI number | 1689816498 |
|---|---|
| LBN Legal business name | Moss, Jacqueline Elaine |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2009 |
| Last updated | Nov 17th, 2023 - about 2 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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