Individual
SARAH KATHRYN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3548 BRYANT AVE S, MINNEAPOLIS, MN 55408-4119
(612) 822-8227
Mailing address
3548 BRYANT AVE S, MINNEAPOLIS, MN 55408-4119
(612) 822-8227
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
29795
MN
Other
Enumeration date
04/13/2020
Last updated
10/03/2024
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