JOHNATHON DEAN JACKSON

FAYETTEVILLE, NC
NPI1407743164
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  P022036)
Enumeration Date2025-06-23
Last Update Date2025-06-23
Business Address
JOHNATHON DEAN JACKSON LCSWA
351 WAGONER DR STE 411
FAYETTEVILLE, NC 28303-4608
Phone number: 910-994-2818
Mailing Address
JOHNATHON DEAN JACKSON LCSWA
5680 MONROE ST
HOPE MILLS, NC 28348-9537
Phone number: 910-988-5323
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