Individual
TYWANDA FLOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(662) 803-6860
Mailing address
205 JACKS PL, BRANDON, MS 39047-4450
(662) 803-6860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8244
MS
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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