Organization
DONALD'S HOME
Active
Other names
T.A.P.S Education for All
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER GREEN (EXECUTIVE DIRECTOR)
(769) 226-6232
Entity
Organization
Contact information
Practice address
2307 MCFADDEN RD, JACKSON, MS 39204-5222
(769) 226-6232
Mailing address
21 VALENCIA CT, JACKSON, MS 39204-4725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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