TIESHEKIA FOWLKS- JACKSON

specializing in counselor in Clarkston, Georgia

NPI: 1881990950

Provider Type

1

Practice Locations

Mailing Location

PO BOX 473

CLARKSTON, GA 30021

📞 4049148877

Practice Location

2900 CHAMBLEE TUCKER RD STE 200

ATLANTA, GA 30341

📞 4049148877

Provider Information

Gender:F
Sole Proprietor:Yes
Enumeration Date:2/7/2011
Last Updated:2/7/2022

Credentials

Primary Credential:
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