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Sandra Jackson, ED.D
NPI 1205035003 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1500 N Westwood Blvd
Poplar Bluff, MO 63901 - Phone
- (573) 778-4740
- Fax
- (573) 778-4156
- Organisation at this address
- St. Louis Jc Vamc
St. Louis Jc Vamc
John J. Pershing Vamc
Department Of Veterans Affairs
John J Pershing Va Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 193
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-12
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 Missouri