MR. ANTIMOORE JACKSON, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1376756098
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 1568-C (AR) |
Frequently Asked Questions
NPI 1376756098 is the National Provider Identifier for MR. ANTIMOORE JACKSON, LCSW, a Social Worker - Clinical provider located in Little Rock, AR. This NPI was enumerated on May 8, 2007.
MR. ANTIMOORE JACKSON, LCSW practices at 14617 SARA DR, Little Rock, AR 72206.
Quick Facts
- NPI
- 1376756098
- Type
- Individual
- Enumerated
- May 8, 2007
- Last Updated
- Jul 9, 2007
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