Individual
SKYLER ALYSS LEWIS- JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
303 ARLINGTON CIR, RIDGELAND, MS 39157-2576
(916) 316-7749
Mailing address
303 ARLINGTON CIR, RIDGELAND, MS 39157-2576
(916) 316-7749
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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