Dericka Jackson
Dericka Jackson is a Social Worker in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2021
Practice location Address checks out
4440 Bass StTampa, FL 33617-8202
Phone: (813) 384-1568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 15603 (FL) |
|---|
Record details
| NPI number | 1700558871 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 28, 2021 |
| Last updated in NPPES | September 28, 2021 |
| Certification date | September 28, 2021 |
| Mailing address | 4440 Bass St, Tampa, FL 33617-8202 |
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