Evelyn Jackson, LCSW

NPI #1275625568 in Columbus, Georgia

Provider Information

NPI Number
1275625568
Entity Type
Individual
Name
Evelyn Jackson, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider
Credential
LCSW
Enumeration Date
Sep 28, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
209 MILLER LOOP
Address 2
FORT BENNING
State
Georgia
ZIP Code
31905-6560
Phone
(706) 545-1661

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider

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