Kimberley Jennifer Jackson Valid NPI
Individual provider · Social Worker · Salem, OR
- NPI
- 1275677148
- Type
- Individual (Type 1)
- Primary specialty
- Social Worker
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 104100000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-02-16
- Last updated
- 2009-08-20
Practice location
3180 Center St Ne
Salem, OR 97301-4532
(503) 588-5351