Individual
ANGELA GREGORY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5701 NW 64TH TER, KANSAS CITY, MO 64151-2382
(816) 319-0632
Mailing address
7305 NW 76TH PL, KANSAS CITY, MO 64152-2283
(816) 803-9132
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2010014901
MO
Other
Enumeration date
11/17/2008
Last updated
06/02/2023
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