LEGACY 4 CHANGE

JACKSON, MS
NPI1912664509
Entity TypeOrganization
Authorized ContactCHASITY DAVIS
President
769-203-8141
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2021-11-18
Last Update Date2022-01-20
Business Address
LEGACY 4 CHANGE
2891 TERRY RD
JACKSON, MS 39212-3051
Phone number: 769-203-8141
Mailing Address
LEGACY 4 CHANGE
PO BOX 821878
VICKSBURG, MS 39182-1878
Phone number: 769-203-8141
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