Dyneen Marie Jackson, MSW

NPI #1710239090 in Richton Park, Illinois

Provider Information

NPI Number: 1710239090
Entity Type: Individual
Name: Dyneen Marie Jackson, MSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: MSW
Enumeration Date: Oct 10, 2012
Last Updated: Oct 10, 2012

Practice Location

Address: 22810 EAST DR
City: Richton Park
State: Illinois
ZIP Code: 60471-2312
Phone: (708) 655-9303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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