Individual
DONNA DANETTE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(910) 286-3084
Mailing address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(910) 286-3084
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006871
NC
Other
Enumeration date
10/15/2010
Last updated
12/05/2025
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