Individual
JACQUELINE E JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
3621 ROSSGATE CT, HAMILTON, OH 45013-9558
(513) 738-7600
Mailing address
3621 ROSSGATE CT, HAMILTON, OH 45013-9558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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