Individual
JASMINE JETERRA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7286 SADDLETRAIL CV, OLIVE BRANCH, MS 38654-8685
(901) 282-8625
Mailing address
7286 SADDLETRAIL CV, OLIVE BRANCH, MS 38654-8685
(901) 282-8625
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2828625
PERSONAL
TN
Enumeration date
06/08/2021
Last updated
06/08/2021
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