Individual
CHAMEKA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSA, PLCSW
Contact information
Practice address
300 VEAZEY DR, BUTNER, NC 27509-1668
(919) 764-5546
Mailing address
131 BEAR CREEK PATH, MORRISVILLE, NC 27560-8217
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P006160
NC
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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