KATANA JACKSON
Social Worker - Clinical
Active
Individual
NPI: 1730489527
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 3232 (SD) |
Frequently Asked Questions
NPI 1730489527 is the National Provider Identifier for KATANA JACKSON, a Social Worker - Clinical provider located in Ellsworth Afb, SD. This NPI was enumerated on October 26, 2010.
KATANA JACKSON practices at 2900 DOOLITTLE DR, Ellsworth Afb, SD 57706.
Quick Facts
- NPI
- 1730489527
- Type
- Individual
- Enumerated
- Oct 26, 2010
- Last Updated
- Jul 25, 2023
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