Tawanna Jackson, MSP,CCC-SLP

NPI 1790841450 · on the registry since 2006 · sole proprietor

Practice

Address: 8075 Mall Pkwy
Suite 101-332
Lithonia, GA 30038
Phone: (770) 323-3002
Organisation at this address: Family Services Unlimited
All Source Professionals, Llc
Family Services Unlimited, Inc
Family Services Unlimited, Inc
Compassionate Care Senior Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-09

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