Individual
MS. DEBORAH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
99 S MAIN ST, FALL RIVER, MA 02721-5375
(508) 821-7777
Mailing address
148 ATWOOD AVE # 327, CRANSTON, RI 02920-4130
(401) 864-2746
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
114314
MA
1041C0700X
Clinical Social Worker
Primary
ISW01978
RI
Other
Enumeration date
05/14/2007
Last updated
12/15/2020
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