KATANA JACKSON

ELLSWORTH AFB, SD
NPI1730489527
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: SD  3232)
Enumeration Date2010-10-26
Last Update Date2023-07-25
Business Address
KATANA JACKSON
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706-4821
Phone number: 605-385-3656
Mailing Address
KATANA JACKSON
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706-4821
Phone number: 605-385-3656
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