Individual
MR. RONALD JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
301 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7872
(803) 996-1500
(803) 996-1510
Mailing address
301 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7872
(803) 996-1500
(803) 996-1510
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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