| NPI | 1003142761 |
|---|---|
| Doing Business As | AESHIA JACKSON |
| Entity Type | Organization |
| Authorized Contact | AESHIA L. JACKSON President 910-528-6172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P004034) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2009-10-29 |