Legacy 4 Change
Legacy 4 Change is a Clinical Social Worker in Jackson, Mississippi. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2891 Terry RdJackson, MS 39212-3051
Phone: (769) 203-8141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1912664509 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chasity Davis — President · (769) 203-8141 |
| NPI enumerated | November 18, 2021 |
| Last updated in NPPES | January 20, 2022 |
| Certification date | January 20, 2022 |
| Mailing address | Po Box 821878, Vicksburg, MS 39182-1878 |
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