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JACQUELINE E. PARRISH LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1851624159
Individual Registrant: JACQUELINE E. PARRISH LCSW
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
23 MDG BEHAVIORAL HEALTH FLIGHT MOODY A F B, GA 31699-0001 US
Tel: 229-257-3898 Fax: --
Tel: 229-257-3898 Fax: --
Contact information for business:
7370 IVEY HILL CIR HAHIRA, GA 31632-2275 US
Tel: 229-794-1279 Fax: --
Tel: 229-794-1279 Fax: --
Registration Information:
NPI: 1851624159
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | DE | Q1-0000976 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
