Individual
MS. ASHLEY JANAY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2342 ANNES LAKE CIR, LITHONIA, GA 30058-6808
(478) 501-2503
Mailing address
2342 ANNES LAKE CIR, LITHONIA, GA 30058-6808
(478) 501-2503
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW007743
GA
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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