Individual
MS. TONIA MARIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
420 WEST FIFTH AVE, FLINT, MI 48503
(810) 257-3746
Mailing address
1322 BANBURY PL, FLINT, MI 48505
(810) 423-1178
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802087390
MI
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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