MICHAEL ROBERT JACKSON

SPRINGVILLE, UT
NPI1780191668
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  118051-3502)
Enumeration Date2018-01-02
Last Update Date2018-01-02
Business Address
MICHAEL ROBERT JACKSON CSW
1220 N MAIN ST STE 10
SPRINGVILLE, UT 84663-4016
Phone number: 801-358-4463
Mailing Address
MICHAEL ROBERT JACKSON CSW
1220 N MAIN ST STE 10
SPRINGVILLE, UT 84663-4016
Phone number: 801-358-4463
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