MR. Lance Ronald Jackson SR., ACSW

NPI #1548581416 in Altadena, California

Provider Information

NPI Number: 1548581416
Entity Type: Individual
Name: MR. Lance Ronald Jackson SR., ACSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: ACSW
Enumeration Date: Jun 15, 2010
Last Updated: Aug 1, 2024

Practice Location

Address: 2933 EL NIDO DR
City: Altadena
State: California
ZIP Code: 91001-4599
Phone: (626) 395-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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