Jeffrey Jackson, LGSW

NPI #1548753965 in Myrtle Beach, South Carolina

Provider Information

NPI Number: 1548753965
Entity Type: Individual
Name: Jeffrey Jackson, LGSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LGSW
Enumeration Date: Jun 11, 2018
Last Updated: Jun 11, 2018

Practice Location

Address: 2024 CORPORATE CENTRE DR STE 103
City: Myrtle Beach
State: South Carolina
ZIP Code: 29577-7410
Phone: (843) 232-2441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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