Provider Information for 1396880910
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TY JONES LCSW
Other Names:Other Name:TYIESTE NICOLE JONES LCSWSex: Female
NPI: 1396880910
Last Updated: 2025-01-15
Certification Date: 2025-01-15
Certification Date: 2025-01-15
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1396880910 | ||||||||
| Enumeration Date | 2007-02-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3258 LAKE EFFIE CT S JACKSONVILLE, FL 32277-0981 United States Phone: 917-593-4765 | Fax: | ||||||||
| Primary Practice Address | 3258 LAKE EFFIE CT S JACKSONVILLE, FL 32277-0981 United States Phone: 917-593-4765 | Fax: | ||||||||
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