Diane Rene Jackson, LMSW-ACP
NPI #1922160720 in O Fallon, Illinois
Provider Information
- NPI Number
- 1922160720
- Entity Type
- Individual
- Name
- Diane Rene Jackson, LMSW-ACP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LMSW-ACP
- Enumeration Date
- Dec 15, 2006
- Last Updated
- Nov 9, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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