Kimberly Jackson, LCSW

NPI #1003955162 in Austin, Texas

Provider Information

NPI Number
1003955162
Entity Type
Individual
Name
Kimberly Jackson, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Feb 5, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1106 CLAYTON LN
Address 2
SUITE 212E
City
Austin
State
Texas
ZIP Code
78723-1066
Phone
(512) 659-3023

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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