| NPI | 1528644713 |
|---|---|
| Doing Business As | ANGELA S. JACKSON |
| Entity Type | Organization |
| Authorized Contact | ANGELA JACKSON Owner 803-542-4152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2021-03-24 |