MRS. Monique Lasean Jackson, MA

NPI #1083973697 in Buford, Georgia

Provider Information

NPI Number: 1083973697
Entity Type: Individual
Name: MRS. Monique Lasean Jackson, MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Credential: MA
Enumeration Date: May 16, 2012
Last Updated: May 16, 2012

Practice Location

Address: 2910 BUFORD DR
Address 2: APT# 702
City: Buford
State: Georgia
ZIP Code: 30519-5109
Phone: (678) 523-1627

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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Organizations

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