Carol Burrell-jackson PH.D., MSW, LMSW

NPI 1578851887 - Social Worker - 1041C0700X

NPI Details
NPI 1578851887
Gender Female
Enumeration Date 07/20/2011
Last Updated 07/20/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3810 PACKARD ST
SUITE 250
ANN ARBOR MI, 48108-2054, US
Phone (734) 929-6509
Fax (734) 929-6553
Business Location
3810 PACKARD ST
SUITE 250
ANN ARBOR MI, 48108-2054, US
Phone (734) 929-6509
Fax (734) 929-6553
Toxanomy
Taxonomy Code 1041C0700X
License State Michigan
License Number 6801035881
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According to our database, Carol Burrell-jackson PH.D., MSW, LMSW NPI is 1578851887, taxonomy code is 1041C0700X and license number is 6801035881, license state is located at Michigan. Carol Burrell-jackson PH.D., MSW, LMSW physically located at 3810 Packard St, Ann Arbor MI, 48108-2054. NPI Number Carol Burrell-jackson PH.D., MSW, LMSW has the Individual type.

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1578851887 NPI number is provided on an as is basis without warranty of any kind. 1578851887 is maintained by the National Plan & Provider Enumeration System. The contents of Carol Burrell-jackson PH.D., MSW, LMSW are for informational purposes only.