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Individual
KATHARINE MAEVE JACKSON
Active
Individual
KATHARINE MAEVE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801122957
MI
175T00000X
Peer Specialist
09162020
MI
390200000X
Student in an Organized Health Care Education/Training Program
26439446
MI
Other
Enumeration date
08/12/2021
Last updated
09/04/2026
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