Individual
RAVEN DAVON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
620 COLONIAL PARK DR, ROSWELL, GA 30075-3838
(678) 834-9242
Mailing address
2950 RICHMOND ROW DR UNIT 2214, SUWANEE, GA 30024-7824
(501) 944-3160
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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