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Individual
MS. SHANTELL ANNETTE PARKER-JACKSON
Active
Individual
MS. SHANTELL ANNETTE PARKER-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801088104
MI
1041C0700X
Clinical Social Worker
Primary
6801088104
MI
1041C0700X
Clinical Social Worker
LCSW27105
CA
Other
Enumeration date
03/23/2007
Last updated
08/03/2026
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