MS. Fantasha Jackson, MSW

NPI #1740001544 in Havana, Florida

Provider Information

NPI Number
1740001544
Entity Type
Individual
Name
MS. Fantasha Jackson, MSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
MSW
Enumeration Date
Oct 23, 2024
Last Updated
Oct 23, 2024

Practice Location

Address
280 MCNAIR RD
City
Havana
State
Florida
ZIP Code
32333-3669
Phone
(850) 570-7023

Specialties & Taxonomy Codes

Specialty
Social Worker

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