Individual
DAWN MAUREEN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
21261 KELLY RD, EASTPOINTE, MI 48021-3125
(586) 771-7253
Mailing address
21261 KELLY RD, EASTPOINTE, MI 48021-3125
(586) 771-7253
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6802061256
MI
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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