Ursula Ann Jackson, LCSW Valid NPI
Individual provider · Clinical Social Worker · East Hartford, CT
- NPI
- 1184952459
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 006586 (CT)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2009-11-25
- Last updated
- 2009-12-02
Practice location
450 Forbes St
East Hartford, CT 06118-1716
(860) 622-5340