Individual
CHRYSTIN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 MASON ST, SALEM, MA 01970-2260
(978) 744-1585
Mailing address
37 WITHERBEE AVE, REVERE, MA 02151-1718
(617) 803-3322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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