Organization
JTA CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER TAYLOR ALLEN MSW (LISW-CP-SUPERVISOR)
(803) 727-4224
Entity
Organization
Contact information
Practice address
3 W ASHFORD CT, IRMO, SC 29063-8328
(803) 781-7506
(803) 781-7506
Mailing address
3 WEST ASHFORD CT, IRMO, SC 29063
(803) 781-7506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1640
SC
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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