Individual
CALLIE JO JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1518 MULBERRY AVE, MUSCATINE, IA 52761-3433
(563) 264-9240
Mailing address
1518 MULBERRY AVE, MUSCATINE, IA 52761-3433
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112708
IA
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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