Individual
VICKI LYNN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
14011 WORTH AVE, WOODBRIDGE, VA 22192-4123
(703) 229-0066
Mailing address
14011 WORTH AVE, WOODBRIDGE, VA 22192-4123
(703) 229-0066
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0903004717
VA
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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