Jade South, LSW

NPI #1962132753 in Red Bud, Illinois

Provider Information

NPI Number: 1962132753
Entity Type: Individual
Name: Jade South, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Jun 14, 2022
Last Updated: Jun 14, 2022

Practice Location

Address: 10257 STATE ROUTE 3
City: Red Bud
State: Illinois
ZIP Code: 62278-4418
Phone: (618) 826-4547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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