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Clinton Jackson, LCSW
NPI 1346416955 · on the registry since 2008
Practice
- Address
- 6600 Van Aalst Blvd
Fort Moore, GA 31905 - Phone
- (762) 408-4065
- Clinicians at this address
- 158
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Also registered as
- Social Worker
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-22
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 Georgia