Individual
MRS. ROSA MARIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24788 RED CLOUD DR, CONIFER, CO 80433-7133
(562) 708-1728
Mailing address
24788 RED CLOUD DR, CONIFER, CO 80433-7133
(562) 708-1728
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
12/01/2020
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