Individual
MISS YOLANDA DENEEN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAREPROVIDER
Contact information
Practice address
1214 WHISPERING PINES RD, ALBANY, GA 31707-3562
(229) 889-8287
Mailing address
1214 WHISPERING PINES RD, ALBANY, GA 31707-3562
(229) 889-8287
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
GA
Other
Enumeration date
05/06/2007
Last updated
07/09/2007
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