Individual
BONNIE ELLEN JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
70 ROUTE 28, ORLEANS, MA 02653-3307
(508) 255-0016
Mailing address
70 ROUTE 28, ORLEANS, MA 02653-3307
(508) 255-0016
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
1023043
MA
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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