Amanda Renee Jackson

NPI #1487019451 in Antioch, Illinois

Provider Information

NPI Number: 1487019451
Entity Type: Individual
Name: Amanda Renee Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Dec 17, 2015
Last Updated: Dec 17, 2015

Practice Location

Address: GENERAL DELIVERY
City: Antioch
State: Illinois
ZIP Code: 60002-9999
Phone: (262) 269-4996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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