Individual
JALISA NICOLE RUMPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
316 WAXMYRTLE WAY, PERRY, GA 31069-9478
(478) 297-1308
Mailing address
316 WAXMYRTLE WAY, PERRY, GA 31069-9478
(478) 297-1308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27766
MD
1041C0700X
Clinical Social Worker
CSW009845
GA
Other
Enumeration date
06/22/2021
Last updated
10/28/2025
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