PHILLIP R JACKSON

SOUTHFIELD, MI
NPI1770920928
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801033152)
Enumeration Date2013-05-29
Last Update Date2021-06-24
Business Address
Mr. PHILLIP R JACKSON Social Worker
26686 E CARNEGIE PARK DR
SOUTHFIELD, MI 48034-6151
Phone number: 248-728-4126
Mailing Address
Mr. PHILLIP R JACKSON Social Worker
26686 E CARNEGIE PARK DR
SOUTHFIELD, MI 48034-6151
Phone number: 248-728-4126
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