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Stephanie Jackson
NPI 1003459934 · on the registry since 2019 · sole proprietor
Practice
- Address
- 22321 W Morning Glory St
Buckeye, AZ 85326 - Phone
- (503) 209-7572
- Fax
- (602) 455-4624
Registry record
- Primary taxonomy
- Foster Care Agency
253J00000X
- Also registered as
- Child Mental Illness Respite Care
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-03-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona