STACEY JACKSON, L.C.S.W. P.I.P
Social Worker
Active
Individual
NPI: 1245327527
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | Yes | 1798-C (AL) |
Frequently Asked Questions
NPI 1245327527 is the National Provider Identifier for STACEY JACKSON, L.C.S.W. P.I.P, a Social Worker provider located in Decatur, AL. This NPI was enumerated on October 6, 2006.
STACEY JACKSON, L.C.S.W. P.I.P practices at 1615 KATHY LN SW, PO BX 2240, Decatur, AL 35603.
Quick Facts
- NPI
- 1245327527
- Type
- Individual
- Enumerated
- Oct 6, 2006
- Last Updated
- Aug 5, 2011
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