Thomas Jackson M.S.W., P-LCSW

NPI 1255698759 - Social Worker - 1041C0700X

NPI Details
NPI 1255698759
Gender Male
Enumeration Date 04/20/2012
Last Updated 04/20/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
5240 CREED DR
SUMMERFIELD NC, 27358-8284, US
Phone (336) 686-1314
Fax (336) 686-1314
Business Location
5240 CREED DR
SUMMERFIELD NC, 27358-8284, US
Phone (336) 686-1314
Fax (336) 686-1314
Toxanomy
Taxonomy Code 1041C0700X
License State North Carolina
License Number P006086
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According to our database, Mr. Thomas Jackson M.S.W., P-LCSW NPI is 1255698759, taxonomy code is 1041C0700X and license number is P006086, license state is located at North Carolina. Thomas Jackson M.S.W., P-LCSW physically located at 5240 Creed Dr, Summerfield NC, 27358-8284. NPI Number Thomas Jackson M.S.W., P-LCSW has the Individual type.

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1255698759 NPI number is provided on an as is basis without warranty of any kind. 1255698759 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Jackson M.S.W., P-LCSW are for informational purposes only.