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Individual

ROBIN EDMUND JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
300 TUSKEGEE BLVD, DOVER AFB, DE 19902-5300
(302) 677-3911
Mailing address
329 MAGNOLIA LAKE CT, AIKEN, SC 29803-2655
(302) 242-8464

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LSW-1048
HI
1041C0700X
Clinical Social Worker
Primary
0904006758
VA

Other

Enumeration date
12/23/2005
Last updated
01/28/2026
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