KIM JACKSON, LICSW
Social Worker - Clinical
Active
Individual
NPI: 1184275166
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | LW61326871 (WA) |
Frequently Asked Questions
NPI 1184275166 is the National Provider Identifier for KIM JACKSON, LICSW, a Social Worker - Clinical provider located in Oakland, CA. This NPI was enumerated on September 22, 2019.
KIM JACKSON, LICSW practices at 4909 DAVENPORT AVE, Oakland, CA 94619.
Quick Facts
- NPI
- 1184275166
- Type
- Individual
- Enumerated
- Sep 22, 2019
- Last Updated
- Apr 3, 2024
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DR. TOLBERT SMALL, MD
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