TINA JACKSON, LCSW

Social Worker

Active Individual
NPI: 1376968172

Practice Address

280 1ST ST BLDG 23
Holloman Afb, NM 88330

Phone: (575) 572-5676

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes 4950 (ND)

Frequently Asked Questions

NPI 1376968172 is the National Provider Identifier for TINA JACKSON, LCSW, a Social Worker provider located in Holloman Afb, NM. This NPI was enumerated on March 3, 2014.
TINA JACKSON, LCSW practices at 280 1ST ST BLDG 23, Holloman Afb, NM 88330.

Quick Facts

NPI
1376968172
Type
Individual
Enumerated
Mar 3, 2014
Last Updated
Jul 26, 2022

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