Individual
DARLENE R. JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 CHRISTY PL, BROCKTON, MA 02301-1840
(508) 580-6800
(508) 587-6633
Mailing address
50 CHRISTY PL, BROCKTON, MA 02301-1840
(508) 580-6800
(508) 587-6633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
112189
MA
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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