Individual
JESSICA STEVENSON BARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 DIRECTORS ROW, JACKSON, TN 38305-2316
(731) 313-7688
Mailing address
116 JABEZ DR, MEDINA, TN 38355-8807
(731) 693-6857
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7263
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7263
LICENSED CLINICAL SOCIAL WORKER
TN
Enumeration date
10/27/2020
Last updated
10/27/2020
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