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MR. NIGEL DAMIEN JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(202) 374-8702
Mailing address
3901 SUITLAND RD APT 908, SUITLAND, MD 20746-1918

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50078330
DC

Other

Enumeration date
08/26/2011
Last updated
08/26/2011
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