Kelly Jackson
Kelly Jackson is a Clinical Social Worker in Gainesville, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
111 SE 1st Ave Ste 130Gainesville, FL 32601-9913
Phone: (352) 246-5490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence SW16096 (FL) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence ISW 9557 (FL) |
Record details
| NPI number | 1588036263 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 21, 2015 |
| Last updated in NPPES | April 7, 2021 |
| Certification date | April 7, 2021 |
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