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Contact Information

MAGDALA T JODESTY JACKSON, LMSW
4343 SHALLOWORD ROAD
BUILDING H, SUITE 4 LOWER LEVEL
MARIETTA, GA30062
 Phone: 678-694-1573
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MAGDALA T JODESTY JACKSON · (Female)

NPI # 1073159034
Status Active
Credentials LMSW (Licensed Master Social Worker)
Entity Individual
Enumeration date 11/25/2019
Last updated 08/28/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # CSW009135
  • GA License # MSW004857
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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