SearchGeorgia104100000X

Vagillia Jackson, LMSW

NPI 1538717350 · on the registry since 2019

Practice

Address
545 St Annes Pl
Covington, GA 30016
Phone
(407) 557-6255

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia