RAVEN NIKIAH JAMISON

APO, AP
NPI1518535707
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: GA  CSW007411)
Enumeration Date2021-06-14
Last Update Date2022-04-15
Business Address
RAVEN NIKIAH JAMISON LCSW
18TH MEDICAL GROUP UNIT 5142
APO, AP 96368-5142
Phone number: 404-993-9640
Mailing Address
RAVEN NIKIAH JAMISON LCSW
PSC 80 BOX 10481
APO, AP 96367-0007
Phone number: 404-993-9640