Individual
MS. BEWINDI AQUILLA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2376 LAKE GARDEN DR, MEMPHIS, TN 38134-6012
(614) 327-4705
(614) 327-4705
Mailing address
2810 SUMMER OAKS DR, BARTLETT, TN 38134-3896
(614) 327-4705
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5128
TN
Other
Enumeration date
02/05/2007
Last updated
10/06/2022
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