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Contact Information

SHERWANDA L JACKSON
122 DESOTO AVE STE 109
CLARKSDALE, MS38614-4440
 Phone: 662-820-2119
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for SHERWANDA L JACKSON · (Female)

NPI Number 1952895641
Status Active
Credentials
Entity Individual
Enumeration date 06/18/2018
Last updated 06/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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