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Evelyn Jackson, LCSW
Military Health Care Provider in Columbus, Georgia
NPI 1275625568

Evelyn Jackson is a Military Health Care Provider based in Columbus, GA. Evelyn Jackson practices in Columbus, GA and has the professional credentials of LCSW. The NPI Number for Evelyn Jackson is 1275625568 and holds a License No. LCSW (Georgia).

The current practice location address for Evelyn Jackson is 209 Miller Loop, Columbus, GA and can be reached out via phone at 706-545-1661.

Location: 209 Miller Loop, Columbus, GA, 31905-6560
person
Provider Profile Details
NPI Number
1275625568
Provider Name
Evelyn Jackson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
209 Miller Loop, Columbus, GA, 31905-6560
Phone Number
706-545-1661
Fax Number
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
209 Miller Loop
City
State
Zip
31905-6560
Phone Number
706-545-1661
Fax Number
person
Provider Business Mailing Address Details
Address
209 Miller Loop
City
State
Zip
31905-6560
Phone Number
706-545-1661
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
LCSW (Louisiana)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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