Individual
MISS SHERIKA MARCHELLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCASA
Contact information
Practice address
314 E THOMAS RD, PHOENIX, AZ 85012-3202
(480) 853-5514
Mailing address
1048 WARPERS LN, STE 207, FORT MILL, SC 29715-2087
(704) 612-0566
(704) 498-4846
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C009154
NC
1041C0700X
Clinical Social Worker
Primary
LCSW-21142
AZ
Other
Enumeration date
03/08/2013
Last updated
08/31/2023
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