MR. Donald John Jackson, LICSW
NPI #1811185721 in Chepachet, Rhode Island
Provider Information
- NPI Number
- 1811185721
- Entity Type
- Individual
- Name
- MR. Donald John Jackson, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Oct 5, 2007
- Last Updated
- Oct 5, 2007
Practice Location
- Address
- 63 HARMONY HILL RD
- City
- Chepachet
- State
- Rhode Island
- ZIP Code
- 02814-1429
- Phone
- (401) 949-0690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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