TANISHA JACKSON

LAGRANGE, GA
NPI1407311509
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-02-04
Last Update Date2019-02-04
Business Address
MS. TANISHA JACKSON
1271 HOGANSVILLE RD APT 115
LAGRANGE, GA 30241-6667
Phone number: 334-646-1574
Mailing Address
MS. TANISHA JACKSON
1271 HOGANSVILLE RD APT 115
LAGRANGE, GA 30241-6667
Phone number: 334-646-1574
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