Individual
TIFFANI JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24127 HUNTSVILLE BROWNSFERRY RD, ATHENS, AL 35613-8411
(256) 497-1790
Mailing address
24127 HUNTSVILLE BROWNSFERRY RD, ATHENS, AL 35613-8411
(256) 497-1790
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6511G
AL
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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