Individual
CORA DENISE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DSW, LCSW, ACSW
Contact information
Practice address
1911 MISSION 66 STE B, VICKSBURG, MS 39180-3762
(601) 456-2598
(855) 830-3484
Mailing address
215 KATHERINE DR STE A, FLOWOOD, MS 39232-9588
(601) 665-4162
(888) 398-1151
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-11310
MS
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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