Individual
DELQWAN RASHAWN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSWA
Contact information
Practice address
110 GLENBURNIE LN APT 103, DURHAM, NC 27704-3073
(919) 908-3072
Mailing address
110 GLENBURNIE LN APT 103, DURHAM, NC 27704-3073
(919) 908-3072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P016902
NC
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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