Individual
MISS JESSICA D. TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8043 CREEKSTONE WAY, RIVERDALE, GA 30274-3948
(678) 422-5851
Mailing address
8043 CREEKSTONE WAY, RIVERDALE, GA 30274-3948
(678) 422-5851
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
001487
GA
104100000X
Social Worker
51134
TX
Other
Enumeration date
01/11/2008
Last updated
01/28/2008
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