Doctor Name: | MS. JENNIFER R BLEDSOE |
NPI Number: | 1073567350 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CSW2708 |
Business Practice Address: | 5 S Public Sq Ste 304 Cartersville, GA - 301203348 |
Business Phone Number: | 6782312348 |
Business Fax Number: | 6787926765 |
Mailing Address: | 15 Sassy Ln, EUHARLEE |
State: | GA |
Postal Code: | 301452844 |
Phone Number: | 6782312348 |
Fax Number: | 6787926765 |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW2708 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |