Individual
MRS. ALEXANDRA SHARON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3231 BIXBY WAY, STOCKTON, CA 95209-1573
(209) 477-2005
(209) 477-2005
Mailing address
3231 BIXBY WAY, STOCKTON, CA 95209-1573
(209) 477-2005
(209) 477-2005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS22763
CA
Other
Enumeration date
03/16/2007
Last updated
01/10/2013
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