Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fluarry Dwayne Jackson Jr., LLMSW

Individual provider Clinical Social Worker · NPI 1154968980

Fluarry Dwayne Jackson Jr., LLMSW is a Clinical Social Worker in Allendale, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2019
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Practice location Address checks out

5068 W Campus Dr Apt G25
Allendale, MI 49401-8850
Phone: (231) 740-3455
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Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801104924 (MI)

Record details

NPI number1154968980
Entity typeIndividual (Type 1)
GenderMale
Credentials LLMSW
Sole proprietorYes
NPI enumeratedNovember 27, 2019
Last updated in NPPESNovember 27, 2019
Mailing address5068 W Campus Dr Apt G25, Allendale, MI 49401-8850

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