Michael Robert Jackson, CSW

NPI #1780191668 in Springville, Utah

Provider Information

NPI Number: 1780191668
Entity Type: Individual
Name: Michael Robert Jackson, CSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: CSW
Enumeration Date: Jan 2, 2018
Last Updated: Jan 2, 2018

Practice Location

Address: 1220 N MAIN ST STE 10
City: Springville
State: Utah
ZIP Code: 84663-4016
Phone: (801) 358-4463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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