Individual
MS. BLAIR T. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2716 HALFHITCH TRL, RALEIGH, NC 27615-3926
(919) 844-1343
Mailing address
2716 HALFHITCH TRL, RALEIGH, NC 27615-3926
(919) 844-1343
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C005270
NC
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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