Individual
ROBIN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
1615 SW 8TH AVE, TOPEKA, KS 66606-1633
(785) 368-2000
(785) 368-2098
Mailing address
1615 SW 8TH AVE, TOPEKA, KS 66606-1633
(785) 368-2000
(785) 368-2098
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2113
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113
STATE LICENSE
KS
Enumeration date
09/12/2008
Last updated
09/12/2008
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