Jackson, Vagillia Faye
Jackson, Vagillia Faye is an individual health care provider with primary practice located at 545 St Annes Pl , Covington GA 30016-4123. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Jackson, Vagillia Faye can be contacted via phone (407) 557-6255.Contact Information
Primary practice address
545 St Annes Pl
Covington GA 30016-4123
Phone: (407) 557-6255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | MSW008760 | Georgia |
Profile Details
| NPI number | 1538717350 |
|---|---|
| LBN Legal business name | Jackson, Vagillia Faye |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2019 |
| Last updated | Aug 27th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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