Individual
COURTNEY M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 E 5TH ST STE 200, FLINT, MI 48502-1641
(810) 701-6322
Mailing address
225 E 5TH ST STE 200, FLINT, MI 48502-1641
(810) 701-6322
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6852093131
MI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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