Individual
MRS. BASHAUN JAKIA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
20311 CENTRAL AVE W, BLOUNTSTOWN, FL 32424-1947
(850) 544-2599
Mailing address
6726 PASADENA DR, TALLAHASSEE, FL 32317-8487
(850) 544-2599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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