Individual
MARIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1501 N 21ST ST, HARRISBURG, PA 17109-3308
(717) 440-7535
Mailing address
1501 NORTH 21ST STREET, HARRISBURG, PA 17109-9528
(717) 440-7535
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
PA
Other
Enumeration date
05/11/2014
Last updated
07/31/2015
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