Individual
DEAWNA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1480 CHAPEL RIDGE RD STE 150, APEX, NC 27502-8504
(919) 606-2748
Mailing address
1480 CHAPEL RIDGE RD STE 150, APEX, NC 27502-8504
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014884
NC
Other
Enumeration date
08/17/2020
Last updated
10/17/2021
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