MICHELLE RENE' JACKSON

LEBANON, MO
NPI1447261110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MO  2005018482)
Enumeration Date2006-08-10
Last Update Date2015-07-23
Business Address
MS. MICHELLE RENE' JACKSON MSW, LCSW
24728 FALCON RD
LEBANON, MO 65536-6137
Phone number: 417-622-8472
Mailing Address
MS. MICHELLE RENE' JACKSON MSW, LCSW
24728 FALCON ROAD
LEBANON, MO 65536-6137
Phone number: 417-622-8472
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