Organization
LACEY JACKSON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY JACKSON (OWNER)
(931) 273-8888
Entity
Organization
Contact information
Practice address
320 W MAIN ST STE 208, MURFREESBORO, TN 37130-3527
(931) 273-8888
Mailing address
320 W MAIN ST STE 208, MURFREESBORO, TN 37130-3527
(931) 273-8888
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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