Individual
MR. DONALD JEFFERSON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW LCSW LCAS-A
Contact information
Practice address
434 ATKINSON ST, LAURINBURG, NC 28352-3714
(910) 506-2008
(910) 506-2010
Mailing address
434 ATKINSON ST, LAURINBURG, NC 28352-3714
(910) 506-2008
(910) 506-2010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007538
NC
Other
Enumeration date
11/30/2011
Last updated
03/10/2016
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