Individual
DAHLIA D JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
1485 M 139, BENTON HARBOR, MI 49022-5711
(269) 925-0585
(269) 927-1326
Mailing address
1485 M 139, BENTON HARBOR, MI 49022-5711
(269) 925-0585
(269) 927-1326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851117596
MI
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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