Individual
MS. TAMIKA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
21350 W 153RD ST, OLATHE, KS 66061-5413
(913) 322-2400
(913) 621-5730
Mailing address
21350 W 153RD ST, OLATHE, KS 66061-5413
(913) 322-2400
(913) 621-5730
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6871
KY
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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