TYLER-LEAH C JACKSON

ATLANTA, GA
NPI1245900919
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW008745)
Additional Taxonomies104100000X Social Worker
(Licence: GA  LMSW9270)
1041C0700X Social Worker, Clinical
(Licence: DE  Q5-0000081)
Enumeration Date2021-09-15
Last Update Date2023-11-30
Business Address
TYLER-LEAH C JACKSON LCSW
3931 LAKE MANOR WAY
ATLANTA, GA 30349-8225
Phone number: 571-205-4080
Mailing Address
TYLER-LEAH C JACKSON LCSW
3931 LAKE MANOR WAY
ATLANTA, GA 30349-8225
Phone number: 571-205-4080