Individual
MS. EDITH SINCLAIR JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
3465 EVANS TO LOCKS RD, MARTINEZ, GA 30907-4907
(706) 863-8287
Mailing address
VAMC -1 FREEDOM WAY, AUGUSTA, GA 30904-6285
(706) 733-0188
(706) 823-3960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW000980
GA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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