Individual
MS. SIERRA C JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.S.W., M.P.A.
Contact information
Practice address
221 W MAIN ST, COUNCIL GROVE, KS 66846-1704
(785) 330-3166
Mailing address
1042 NEW JERSEY ST, LAWRENCE, KS 66044-3048
(785) 330-3166
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7787
KS
Other
Enumeration date
12/30/2015
Last updated
03/29/2017
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