Individual
SUZETTE REBECCA HANSON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, APSW
Contact information
Practice address
120 S BARSTOW ST, EAU CLAIRE, WI 54701-3642
(715) 225-6943
Mailing address
120 S BARSTOW ST, EAU CLAIRE, WI 54701-3642
(715) 225-6943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
131485-121
WI
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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