Individual
DELILAH YVETTE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 S CEDARBROOK AVE, SPRINGFIELD, MO 65804-2730
(417) 619-2768
Mailing address
2115 S CEDARBROOK AVE, SPRINGFIELD, MO 65804-2730
(417) 619-2768
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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