BRENT L JACKSON

NAMPA, ID
NPI1518301597
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  31373)
Enumeration Date2013-04-22
Last Update Date2013-04-22
Business Address
Mr. BRENT L JACKSON LMSW
1031 W SANETTA ST
NAMPA, ID 83651-5047
Phone number: 208-466-7443
Mailing Address
Mr. BRENT L JACKSON LMSW
1031 W SANETTA ST
NAMPA, ID 83651-5047
Phone number: 208-466-7443