Individual
MS. ERIKA LYNNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N/A
Contact information
Practice address
29 MAIN ST, MILLBURY, MA 01527-2005
(508) 581-5225
(508) 581-5225
Mailing address
12 S MAIN ST, MILLBURY, MA 01527-3197
(774) 275-9202
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0000
—
104100000X
Social Worker
Primary
0000
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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