MRS. Holly Jackson, LMSW

NPI #1013212711 in Kansas City, Missouri

Provider Information

NPI Number: 1013212711
Entity Type: Individual
Name: MRS. Holly Jackson, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LMSW
Enumeration Date: Jan 11, 2011
Last Updated: Jan 11, 2011

Practice Location

Address: 511 W 86TH TER
City: Kansas City
State: Missouri
ZIP Code: 64114-2822
Phone: (816) 377-6872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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