ROBERTA JACKSON

COLUMBIA, SC
NPI1821145137
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: SC  2120)
Enumeration Date2007-01-05
Last Update Date2007-07-08
Business Address
-- ROBERTA JACKSON LBSW
2100 BULL ST
COLUMBIA, SC 29201-2104
Phone number: 803-935-5572
Mailing Address
-- ROBERTA JACKSON LBSW
PO BOX 11921
COLUMBIA, SC 29211-1921
Phone number: 803-935-5572
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