MRS. Jeanette Jackson, LCSW

NPI #1407019797 in Bristol, Florida

Provider Information

NPI Number
1407019797
Entity Type
Individual
Name
MRS. Jeanette Jackson, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jul 7, 2008
Last Updated
Jul 7, 2008

Practice Location

Address
12422 NW G T REVELL RD
State
Florida
ZIP Code
32321-3007
Phone
(850) 643-4600

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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