Individual
ERICA LAPRELL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7322 W RAWSON AVE, FRANKLIN, WI 53132-8117
(414) 336-2126
Mailing address
7322 W RAWSON AVE, FRANKLIN, WI 53132-8117
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
132275-121
WI
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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