TIESHEKIA FOWLKS- JACKSON

ATLANTA, GA
NPI1881990950
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: GA  005832)
Enumeration Date2011-02-07
Last Update Date2022-02-07
Business Address
TIESHEKIA FOWLKS- JACKSON
2900 CHAMBLEE TUCKER RD STE 200
ATLANTA, GA 30341-4100
Phone number: 404-914-8877
Mailing Address
TIESHEKIA FOWLKS- JACKSON
PO BOX 473
CLARKSTON, GA 30021-0473
Phone number: 404-914-8877
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