Individual
JACQUELINE A FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
574 SPRYFIELD RD, JACKSON, MS 39212-4645
(601) 212-3454
(769) 257-6295
Mailing address
574 SPRYFIELD RD, JACKSON, MS 39212-4645
(601) 212-3454
(769) 257-6295
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C0327
MS
Other
Enumeration date
08/20/2010
Last updated
07/19/2013
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