Individual
RENAY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 BROWNING ROAD EXT, GREENWOOD, MS 38930-9417
(662) 453-6211
Mailing address
2504 BROWNING ROAD EXT, GREENWOOD, MS 38930-9417
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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