Katana Jackson
NPI #1730489527 in Ellsworth Afb, South Dakota
Provider Information
- NPI Number
- 1730489527
- Entity Type
- Individual
- Name
- Katana Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Oct 26, 2010
- Last Updated
- Jul 25, 2023
Practice Location
- Address
- 2900 DOOLITTLE DR
- City
- Ellsworth Afb
- State
- South Dakota
- ZIP Code
- 57706-4821
- Phone
- (605) 385-3656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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