CHARMAINE JACKSON

LOS ANGELES, CA
NPI1407181712
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCSW78456)
Enumeration Date2009-10-05
Last Update Date2019-02-22
Business Address
CHARMAINE JACKSON LCSW
1933 S BROADWAY FL 6
LOS ANGELES, CA 90007-4501
Phone number: 909-291-5766
Mailing Address
CHARMAINE JACKSON LCSW
1933 S BROADWAY FL 6
LOS ANGELES, CA 90007-4501
Phone number: 909-291-5766