Lilly Mae Jackson, LMSW
NPI #1780972323 in Blytheville, Arkansas
Provider Information
- NPI Number
- 1780972323
- Entity Type
- Individual
- Name
- Lilly Mae Jackson, LMSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- LMSW
- Enumeration Date
- Jul 18, 2011
- Last Updated
- Nov 2, 2023
Practice Location
- Address
- 209 S LOCKARD ST
- City
- Blytheville
- State
- Arkansas
- ZIP Code
- 72315-2541
- Phone
- (870) 763-2139
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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