Shannon Michelle Jackson MA

NPI 1467621805 - Social Worker - 1041C0700X

NPI Details
NPI 1467621805
Gender Female
Enumeration Date 02/28/2008
Last Updated 09/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1255 ALLSTON WAY
BERKELEY CA, 94702-1833, US
Phone (510) 849-1402
Fax
Business Location
1255 ALLSTON WAY
BERKELEY CA, 94702-1833, US
Phone (510) 845-9010
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State
License Number
Remove 1467621805 NPI Number
 

According to our database, Shannon Michelle Jackson MA NPI is 1467621805, taxonomy code is 1041C0700X Shannon Michelle Jackson MA physically located at 1255 Allston Way, Berkeley CA, 94702-1833. NPI Number Shannon Michelle Jackson MA has the Individual type.

Sponsored links

1467621805 NPI number is provided on an as is basis without warranty of any kind. 1467621805 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Michelle Jackson MA are for informational purposes only.