Marian A Jackson, LCSW
NPI #1427394485 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1427394485
- Entity Type
- Individual
- Name
- Marian A Jackson, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Dec 19, 2012
- Last Updated
- Dec 19, 2012
Practice Location
- Address
- 125 N RUBY LN
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-1926
- Phone
- (618) 398-4226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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