Individual
ALANA MARCELLAS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
5024 N CENTER RD, SAGINAW, MI 48604-9412
(989) 790-3130
Mailing address
3115 BERTHA DR, SAGINAW, MI 48601-6906
(989) 327-7376
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6851107069
MI
1041C0700X
Clinical Social Worker
Primary
6851107069
MI
247200000X
Other Technician
—
—
Other
Enumeration date
06/30/2016
Last updated
11/30/2021
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