Mirissa Jackson
NPI #1831757905 in Cantonment, Florida
Provider Information
- NPI Number
- 1831757905
- Entity Type
- Individual
- Name
- Mirissa Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jun 3, 2019
- Last Updated
- Mar 24, 2025
Practice Location
- Address
- 3771 STEFANI RD
- City
- Cantonment
- State
- Florida
- ZIP Code
- 32533-7795
- Phone
- (850) 607-6910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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