Phillip Jackson's National Provider Identifier (NPI) Details
Phillip Jackson, Social Worker
NPI: 1770920928
Enumeration Date: 2013-05-29
Last updated: 2021-06-24
Sole Proprietor: YES
Status: active
Postal Address: 26686 E CARNEGIE PARK DR, SOUTHFIELD, MI
Phone: 248-728-4126
Primary Practice Address: 26686 E CARNEGIE PARK DR, SOUTHFIELD, MI
Practice's phone: 248-728-4126