MR. Clinton Wayne Jackson JR., LCSW

NPI #1346416955 in Fort Moore, Georgia

Provider Information

NPI Number
1346416955
Entity Type
Individual
Name
MR. Clinton Wayne Jackson JR., LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
LCSW
Enumeration Date
May 3, 2008
Last Updated
Sep 22, 2023

Practice Location

Address
6600 VAN AALST BLVD
State
Georgia
ZIP Code
31905-2102
Phone
(762) 408-4065

Specialties & Taxonomy Codes

Specialty
Social Worker

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