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NPI Profile for ROSE M JACKSON in BAYTOWN, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1235400268 |
|
| Status | Active | |
| Credentials | LMSW-AB, LCDC, AAC | |
| Entity | Individual | |
| Enumeration date | 01/23/2012 | |
| Last updated | 01/23/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ROSE M JACKSON
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ROSE M JACKSON, LMSW-AB, LCDC, AAC