KIERAN L. JACKSON

WARSAW, IN
NPI1821518226
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies104100000X Social Worker
Enumeration Date2017-06-27
Last Update Date2020-08-21
Business Address
KIERAN L. JACKSON MSW
850 N HARRISON ST
WARSAW, IN 46580-3163
Phone number: 574-267-7169
Mailing Address
KIERAN L. JACKSON MSW
2621 E JEFFERSON ST
WARSAW, IN 46580-3880
Phone number: 574-267-7169
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