Individual
MS. KIMBERLY R JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
552 BARNWELL RD, SPARTANBURG, SC 29303-3915
(864) 256-7649
Mailing address
552 BARNWELL RD, SPARTANBURG, SC 29303-3915
(864) 256-7649
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17568
SC
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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