Stacey N Jackson, L.C.S.W. P.I.P

NPI #1245327527 in Decatur, Alabama

Provider Information

NPI Number
1245327527
Entity Type
Individual
Name
Stacey N Jackson, L.C.S.W. P.I.P
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
L.C.S.W. P.I.P
Enumeration Date
Oct 6, 2006
Last Updated
Aug 5, 2011

Practice Location

Address
1615 KATHY LN SW
Address 2
PO BX 2240
State
Alabama
ZIP Code
35603-1026
Phone
(256) 306-4128

Specialties & Taxonomy Codes

Specialty
Social Worker

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