SHASA JACKSON

AVONDALE, AZ
NPI1013640036
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AZ  LCSW-20522)
Enumeration Date2022-07-07
Last Update Date2022-07-07
Business Address
Dr. SHASA JACKSON LCSW, DBH
950 E VAN BUREN ST
AVONDALE, AZ 85323-1506
Phone number: 623-344-6860
Mailing Address
Dr. SHASA JACKSON LCSW, DBH
2619 E. ROOSEVELT
PHOENIX, AZ 85008
Phone number: