MR. Alfred D. Jackson, LSW

NPI #1750833414 in Independence, Ohio

Provider Information

NPI Number: 1750833414
Entity Type: Individual
Name: MR. Alfred D. Jackson, LSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Oct 28, 2016
Last Updated: Sep 17, 2019

Practice Location

Address: 6200 ROCKSIDE WOODS BLVD N STE 305
City: Independence
State: Ohio
ZIP Code: 44131-2343
Phone: (216) 778-9390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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