Individual
TANISHA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
205 E 11TH ST, ADEL, GA 31620-3624
(334) 465-5443
Mailing address
205 E 11TH ST, ADEL, GA 31620-3624
(334) 465-5443
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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