Jerry Jackson

NPI #1023549805 in Parkville, Maryland

Provider Information

NPI Number: 1023549805
Entity Type: Individual
Name: Jerry Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Mar 23, 2017
Last Updated: Mar 23, 2017

Practice Location

Address: 7937 WESTMORELAND AVE
City: Parkville
State: Maryland
ZIP Code: 21234-5435
Phone: (910) 528-2628

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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