EVELYN JACKSON

COLUMBUS, GA
NPI1275625568
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
(Licence: LA  LCSW)
Enumeration Date2006-09-28
Last Update Date2007-07-08
Business Address
-- EVELYN JACKSON LCSW
209 MILLER LOOP FORT BENNING
COLUMBUS, GA 31905-6560
Phone number: 706-545-1661
Mailing Address
-- EVELYN JACKSON LCSW
209 MILLER LOOP FORT BENNING
COLUMBUS, GA 31905-6560
Phone number: 706-545-1661
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