Individual
RONALD JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
525 ZANE ST, LOUISVILLE, KY 40203-3203
(502) 893-3900
Mailing address
525 ZANE ST, LOUISVILLE, KY 40203-3203
(502) 893-3900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/23/2016
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