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Individual

MRS. LACEY H JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2723 NEW SALEM HWY, MURFREESBORO, TN 37128-5253
(615) 396-6850
Mailing address
9247 NEW ZION RD, CHRISTIANA, TN 37037-5206
(931) 273-8888

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7363
TN

Other

Enumeration date
06/26/2007
Last updated
03/24/2021
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