PHYLLIS JACKSON-SMITH

EAST POINT, GA
NPI1427222041
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW1122)
Enumeration Date2008-04-15
Last Update Date2008-04-15
Business Address
Ms. PHYLLIS JACKSON-SMITH LCSW
2995 MEADOW LARK DR
EAST POINT, GA 30344-4033
Phone number: 404-762-7859
Mailing Address
Ms. PHYLLIS JACKSON-SMITH LCSW
2995 MEADOW LARK DR
EAST POINT, GA 30344-4033
Phone number: 404-762-7859