Individual
NATASHA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2506 WILLOWBROOK PKWY STE 102, INDIANAPOLIS, IN 46205-1542
(317) 803-2270
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99091070A
IN
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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