Individual
JULIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
429 E VERMONT ST, SUITE 205, INDIANAPOLIS, IN 46202-3690
(317) 289-1117
(317) 631-5872
Mailing address
429 E VERMONT ST, SUITE 205, INDIANAPOLIS, IN 46202-3690
(317) 289-1117
(317) 631-5872
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005111A
IN
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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