SHANA JACKSON

ROANOKE, VA
NPI1639552094
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904009062)
Enumeration Date2015-07-02
Last Update Date2017-05-03
Business Address
-- SHANA JACKSON LCSW
3517 BRANDON AVE SW
ROANOKE, VA 24018-1523
Phone number: 540-981-1102
Mailing Address
-- SHANA JACKSON LCSW
3517 BRANDON AVE SW
ROANOKE, VA 24018-1523
Phone number: 540-981-1102
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