Individual
MS. FLORENCE A JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER II
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 486-4077
(909) 889-2001
Mailing address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 486-4077
(909) 889-2001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CA
Other
Enumeration date
02/28/2007
Last updated
03/16/2022
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