Individual
TAYLOR JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7749 STATE ST, RALSTON, NE 68127-3830
(402) 980-5506
Mailing address
7749 STATE ST, RALSTON, NE 68127-3830
(402) 980-5506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7350
NE
Other
Enumeration date
01/29/2020
Last updated
12/01/2025
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