MARKUS K JACKSON

SOUTH BEND, IN
NPI1518955434
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34004900A)
Enumeration Date2005-10-13
Last Update Date2007-07-08
Business Address
Mr. MARKUS K JACKSON LCSW
105 E JEFFERSON BLVD SUITE 700
SOUTH BEND, IN 46601-1922
Phone number: 574-232-2255
Mailing Address
Mr. MARKUS K JACKSON LCSW
105 E JEFFERSON BLVD SUITE 700
SOUTH BEND, IN 46601-1922
Phone number: 574-232-2255
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