Individual
MRS. JACQUELINE LOGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
805 N FLAG CHAPEL RD, JACKSON, MS 39209-2208
(912) 674-5760
Mailing address
805 N FLAG CHAPEL RD, JACKSON, MS 39209-2208
(912) 674-5760
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8797
MS
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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