Individual
MRS. TAMRA JERDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 364-7907
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 364-7907
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9674
MS
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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