VICTORIA CASSANDRA JACKSON

MEQUON, WI
NPI1679984108
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: WI  128624-121)
Enumeration Date2014-05-19
Last Update Date2014-05-19
Business Address
MS. VICTORIA CASSANDRA JACKSON
10532 N PORT WASHINGTON RD
MEQUON, WI 53092
Phone number: 262-242-3810
Mailing Address
MS. VICTORIA CASSANDRA JACKSON
10532 N PORT WASHINGTON RD
MEQUON, WI 53092
Phone number: