Individual
BRIDGET JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13791 E RICE PL, AURORA, CO 80015-1057
(720) 515-5279
Mailing address
13791 E RICE PL, AURORA, CO 80015-1057
(720) 515-5279
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
327
CO
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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