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Organization

PREGNANCY AND PEDIATRIC REFERRAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA ADRIENNE JACKSON ADRIENNE JACKSON LCSW-S (OWNER/CASE MANAGER)
(346) 902-4478
Entity
Organization

Contact information

Practice address
4114 SHACKLETON CT, IOWA COLONY, TX 77583-1534
(346) 902-4478
Mailing address
4114 SHACKLETON CT, IOWA COLONY, TX 77583-1534
(346) 902-4478

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
10/06/2025
Last updated
10/20/2025
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