Individual
ASHLEY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(469) 419-0582
Mailing address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(469) 419-0582
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105671
TX
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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