Individual
MS. MONEEFAH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, LSWAIC
Contact information
Practice address
100 N HOWARD ST STE W, SPOKANE, WA 99201-0508
(610) 972-0405
Mailing address
100 N HOWARD ST STE W, SPOKANE, WA 99201-0508
(610) 972-0405
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW132125
PA
1041C0700X
Clinical Social Worker
Primary
SC61640278
WA
Other
Enumeration date
02/23/2015
Last updated
12/30/2024
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