Individual
MR. ROBERT BOYD JACKSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2400 WHITE AVE, NASHVILLE, TN 37204-2235
(615) 460-4171
Mailing address
2275 BROKESHIRE DR, WHITE HOUSE, TN 37188-1593
(615) 982-5859
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8512
TN
Other
Enumeration date
02/19/2008
Last updated
04/10/2024
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