Individual
MRS. JAMELA KENTOYIA MCINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
860 E RIVER PL, JACKSON, MS 39202-3442
(769) 251-5550
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
(769) 251-5550
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MS
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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