ANTIMOORE H. JACKSON

LITTLE ROCK, AR
NPI1376756098
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AR  1568-C)
Enumeration Date2007-05-08
Last Update Date2007-07-09
Business Address
Mr. ANTIMOORE H. JACKSON LCSW
14617 SARA DR
LITTLE ROCK, AR 72206-5410
Phone number: 501-952-5275
Mailing Address
Mr. ANTIMOORE H. JACKSON LCSW
14617 SARA DR
LITTLE ROCK, AR 72206-5410
Phone number: 501-952-5275
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