Individual
MR. JACKSON COLE SCHUMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, MSW
Contact information
Practice address
2001 EASTGATE AVE., PIERRE, SD 57501-5691
(605) 224-5811
(605) 224-6921
Mailing address
2001 EASTGATE AVE., PIERRE, SD 57501-5691
(605) 224-5811
(605) 224-6921
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4996
SD
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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