Individual
CASSEE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4000
Mailing address
10422 ATKINS RIDGE DR, CHARLOTTE, NC 28213-4295
(704) 438-9901
(704) 943-4484
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007761
NC
Other
Enumeration date
07/10/2013
Last updated
02/13/2018
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