Individual
SALLY ANN DAVIS-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, PLMHP, CSW
Contact information
Practice address
202 E HIGHWAY 20, BASSETT, NE 68714-6052
(402) 684-2908
Mailing address
PO BOX 26, BASSETT, NE 68714-0026
(402) 684-2908
(402) 913-3454
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12003
NE
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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