Individual
MS. SIMONE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3491 GANDY BLVD N, #201, PINELLAS PARK, FL 33781-2658
(727) 888-2274
Mailing address
1420 W 26TH CT, RIVIERA BEACH, FL 33404-4123
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
09/25/2019
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