Outlaw, Jennifer

Outlaw, Jennifer is an individual health care provider with primary practice located at 846 Erika Ln , Grovetown GA 30813-8302. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Outlaw, Jennifer can be contacted via phone (757) 537-9607.

Contact Information

Primary practice address
846 Erika Ln Grovetown GA 30813-8302
Phone: (757) 537-9607
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW007251 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 14065 South Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 26026 Maryland

Profile Details

NPI number 1932591039
LBN Legal business name Outlaw, Jennifer
Credentials LCSW-C, LCSW, LISW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2015
Last updated Oct 16th, 2021 - about 3 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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