Individual
MS. FAIZA OMER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 N WASHINGTON ST STE 607, ALEXANDRIA, VA 22314-2544
(713) 933-8903
Mailing address
7644 AUDUBON MEADOW WAY, ALEXANDRIA, VA 22306-2277
(713) 933-8903
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.012194
IL
1041C0700X
Clinical Social Worker
Primary
0904010831
VA
1041C0700X
Clinical Social Worker
23189
MD
Other
Enumeration date
06/28/2011
Last updated
04/03/2019
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