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Individual
VIZION DANETTE JACKSON
Active
Individual
VIZION DANETTE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
30860
TX
104100000X
Social Worker
30860
TX
1041C0700X
Clinical Social Worker
Primary
30860
TX
171M00000X
Case Manager/Care Coordinator
30860
TX
Other
Enumeration date
02/22/2010
Last updated
03/31/2020
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