Mr. Derrick Jerome Jackson, LLMSW
Mr. Derrick Jerome Jackson, LLMSW is a Clinical Social Worker in Pontiac, Michigan. Licensed in Michigan. Registered with an NPI since 2012.
- Licensed in
- MI
- In the registry since
- 2012
Practice location Address checks out
114 Orchard Lake RdPontiac, MI 48341-2244
Phone: (248) 858-7766
Fax: (248) 858-7112
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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 6801094410 (MI) |
|---|
Record details
| NPI number | 1588928626 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LLMSW |
| Sole proprietor | No |
| NPI enumerated | July 3, 2012 |
| Last updated in NPPES | July 3, 2012 |
| Mailing address | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 |
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