MIRISSA JACKSON

Social Worker - Clinical

Active Individual
NPI: 1831757905

Practice Address

3771 STEFANI RD
Cantonment, FL 32533

Phone: (850) 607-6910

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 25215 (MD)

Frequently Asked Questions

NPI 1831757905 is the National Provider Identifier for MIRISSA JACKSON, a Social Worker - Clinical provider located in Cantonment, FL. This NPI was enumerated on June 3, 2019.
MIRISSA JACKSON practices at 3771 STEFANI RD, Cantonment, FL 32533.

Quick Facts

NPI
1831757905
Type
Individual
Enumerated
Jun 3, 2019
Last Updated
Mar 24, 2025

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