Individual
AMELIA C JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6549 TOWN CENTER DR, SUITE A, CLARKSTON, MI 48346-4824
(248) 620-6400
(248) 620-6405
Mailing address
6549 TOWN CENTER DR, SUITE A, CLARKSTON, MI 48346-4824
(248) 620-6400
(248) 620-6405
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801094446
MI
Other
Enumeration date
07/10/2012
Last updated
03/06/2017
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