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Individual

ASHLEY JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3663 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-3506
(310) 900-8490
Mailing address
1422 E TURMONT ST, CARSON, CA 90746-3817
(310) 438-9506

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW136769
CA
1041C0700X
Clinical Social Worker
Primary
ASW136769
CA

Other

Enumeration date
03/13/2026
Last updated
03/23/2026
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