Individual
JILLIAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3015 PARENTAL HOME RD, JACKSONVILLE, FL 32216-5704
(904) 725-6662
Mailing address
3015 PARENTAL HOME RD, JACKSONVILLE, FL 32216-5704
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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