Tyler Jackson, LLMSW

NPI #1033693155 in Lincoln Park, Michigan

Provider Information

NPI Number: 1033693155
Entity Type: Individual
Name: Tyler Jackson, LLMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LLMSW
Enumeration Date: Sep 25, 2018
Last Updated: Sep 25, 2018

Practice Location

Address: 26184 OUTER DR
City: Lincoln Park
State: Michigan
ZIP Code: 48146-2084
Phone: (313) 389-7516

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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