MR. Thomas Jackson, M.S.W., P-LCSW
NPI #1255698759 in Summerfield, North Carolina
Provider Information
- NPI Number
- 1255698759
- Entity Type
- Individual
- Name
- MR. Thomas Jackson, M.S.W., P-LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- M.S.W., P-LCSW
- Enumeration Date
- Apr 20, 2012
- Last Updated
- Apr 20, 2012
Practice Location
- Address
- 5240 CREED DR
- City
- Summerfield
- State
- North Carolina
- ZIP Code
- 27358-8284
- Phone
- (336) 686-1314
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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