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Contact Information

ANNIE M JACKSON, LMSW
8549 SOUTHAVEN CIR W
SOUTHAVEN, MS38671-2919
 Phone: 662-721-0814
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for ANNIE M JACKSON · (Female)

NPI Number 1952008120
Status Active
Credentials LMSW (Licensed Master Social Worker)
Entity Individual
Enumeration date 02/08/2023
Last updated 02/08/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # M8955
  • TN License # 13907
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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