Individual
BAILEY ANNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3300 17TH ST, SARASOTA, FL 34235-8904
(941) 217-6503
Mailing address
3300 17TH ST, SARASOTA, FL 34235-8904
(941) 217-6503
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW18301
FL
Other
Enumeration date
05/08/2019
Last updated
04/15/2021
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