Individual
JULIET JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
108 SHIRLEY CIR, DAPHNE, AL 36526-7048
(205) 902-2396
Mailing address
108 SHIRLEY CIR, DAPHNE, AL 36526-7048
(205) 902-2396
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5717C
AL
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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