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Individual
MS. KWAJERA ZAKIYAH JACKSON
Active
Individual
MS. KWAJERA ZAKIYAH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14992
MD
1041C0700X
Clinical Social Worker
3700C-1210
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114312300
—
MD
Enumeration date
11/01/2012
Last updated
11/17/2022
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