DAVID JACKSON

PINE CITY, MN
NPI1548972425
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  21551)
Enumeration Date2022-12-22
Last Update Date2022-12-22
Business Address
DAVID JACKSON LICSW
220 RAILROAD ST SE
PINE CITY, MN 55063-1540
Phone number: 320-629-7600
Mailing Address
DAVID JACKSON LICSW
220 RAILROAD ST SE
PINE CITY, MN 55063-1540
Phone number: 320-629-7600