JACKIE TANNA

CLARKSDALE, MS
NPI1649594029
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2010-03-15
Last Update Date2010-03-15
Business Address
-- JACKIE TANNA MA
1742 CHERYL ST
CLARKSDALE, MS 38614-7218
Phone number: 662-627-7267
Mailing Address
-- JACKIE TANNA MA
PO BOX 1046
CLARKSDALE, MS 38614-1046
Phone number: 662-627-7267
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