Individual
KAYLA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2340 COMMONWEALTH DR STE 101, CHARLOTTESVILLE, VA 22901-1634
(855) 722-4422
Mailing address
505 MAIN ST, TOMS RIVER, NJ 08753-7443
(732) 272-0127
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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