ALYSA MICHELE JACKSON

FORT WORTH, TX
NPI1073571428
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  075695)
Enumeration Date2006-05-03
Last Update Date2016-10-10
Business Address
Ms. ALYSA MICHELE JACKSON MSW
3000 "J" STREET, FEDERAL MEDICAL CENTER, CARSWELL
FORT WORTH, TX 76127
Phone number: 817-782-4002
Mailing Address
Ms. ALYSA MICHELE JACKSON MSW
5425 DEER ISLAND DR
FORT WORTH, TX 76179-1481
Phone number: 254-833-0663
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