Jessica Ashley Jackson, LSW

NPI #1437759594 in Mishawaka, Indiana

Provider Information

NPI Number: 1437759594
Entity Type: Individual
Name: Jessica Ashley Jackson, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Oct 28, 2020
Last Updated: Feb 6, 2023

Practice Location

Address: 310 W MCKINLEY AVE
City: Mishawaka
State: Indiana
ZIP Code: 46545-5600
Phone: (269) 262-1815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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