CLINTON WAYNE JACKSON

FORT MOORE, GA
NPI1346416955
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: GA  CSW004875)
Additional Taxonomies104100000X Social Worker
Enumeration Date2008-05-03
Last Update Date2023-09-22
Business Address
Mr. CLINTON WAYNE JACKSON LCSW
6600 VAN AALST BLVD
FORT MOORE, GA 31905-2102
Phone number: 762-408-4065
Mailing Address
Mr. CLINTON WAYNE JACKSON LCSW
MARTIN ARMY COMMUNITY HOSPITAL 6600 VAN AALST BOULEVARD
FORT MOORE, GA 31905
Phone number: 762-408-4065
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