Individual
MRS. TROYA LUSAND JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1105 W PEACHTREE ST NW, ATLANTA, GA 30309-3608
(404) 853-2800
(404) 872-1636
Mailing address
1105 W PEACHTREE ST NW, ATLANTA, GA 30309-3608
(404) 853-2800
(404) 872-1636
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW003823
GA
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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