MR. Deric R Jackson, LICSW
NPI #1093423337 in Hastings, Minnesota
Provider Information
- NPI Number
- 1093423337
- Entity Type
- Individual
- Name
- MR. Deric R Jackson, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Nov 7, 2022
- Last Updated
- Nov 28, 2022
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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