| NPI | 1790298594 |
|---|---|
| Former Name | ALVERA VERDIE JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2018-12-13 |