Dominique Jackson
Dominique Jackson is a Social Worker in Phoenix, Arizona. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1705 E Carson RdPhoenix, AZ 85042-5748
Phone: (480) 226-5734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1205400561 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 19, 2021 |
| Last updated in NPPES | May 19, 2021 |
| Certification date | May 19, 2021 |
| Mailing address | Po Box 16906, Phoenix, AZ 85011-6906 |
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