Individual
MISS ANITA IRENE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2311 LOVERIDGE RD, PITTSBURG, CA 94565-5117
(925) 431-2647
Mailing address
2311 LOVERIDGE RD, PITTSBURG, CA 94565-5117
(925) 431-2647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
94587
CA
Other
Enumeration date
09/06/2007
Last updated
05/05/2020
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