Individual
KEILA K JACKSON-ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
17844 E 23RD ST S, INDEPENDENCE, MO 64057-1840
(816) 254-3652
(816) 254-9243
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5214
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2023050133
MO
1041C0700X
Clinical Social Worker
9875
KS
Other
Enumeration date
01/03/2019
Last updated
01/03/2024
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