Individual
JACKSON L GARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6110 ASPEN GROVE DR, INDIANAPOLIS, IN 46250-1352
(812) 887-5998
Mailing address
4112 COOK AVE, WESTFIELD, IN 46062-6172
(812) 887-5998
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006158A
IN
Other
Enumeration date
03/11/2011
Last updated
07/01/2024
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