Justice Jackson, LMSW

NPI #1073354304 in Branford, Connecticut

Provider Information

NPI Number: 1073354304
Entity Type: Individual
Name: Justice Jackson, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jun 3, 2024
Last Updated: Jun 3, 2024

Practice Location

Address: 250 W MAIN ST STE 301
City: Branford
State: Connecticut
ZIP Code: 06405-4032
Phone: (860) 877-8690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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