Individual
JESSICA TAYLOR WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60027 NEWTON RD, AMORY, MS 38821-9078
(662) 408-5682
Mailing address
60027 NEWTON RD, AMORY, MS 38821-9078
(662) 408-5682
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
40068
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
ID
Enumeration date
01/12/2021
Last updated
01/12/2021
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