Individual
KIARA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1049 48TH PL NE, WASHINGTON, DC 20019-3912
(202) 706-0740
Mailing address
3305 RANDALL RD, SUITLAND, MD 20746-2146
(202) 706-0740
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG200002645
DC
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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