Individual
MISS DAVIN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 S ELIZABETH ST, INDEPENDENCE, MO 64057-1759
(816) 795-1484
Mailing address
3317 ASKEW AVE, KANSAS CITY, MO 64128-2043
(813) 813-1904
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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