Individual
ERIC T JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
110 HIDDEN VALLEY RD, MC MURRAY, PA 15317-2685
(724) 941-4070
(724) 941-5083
Mailing address
110 HIDDEN VALLEY RD, MC MURRAY, PA 15317-2685
(724) 941-4070
(724) 941-5083
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW131239
PA
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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