Individual
MS. DELPHINE ELAINE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1281 MICHAEL AVE, LEWISVILLE, TX 75077-3054
(616) 268-8787
Mailing address
1281 MICHAEL AVE, LEWISVILLE, TX 75077-3054
(616) 268-8787
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851105932
MI
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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