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Antimoore Jackson, LCSW
NPI 1376756098 · on the registry since 2007 · sole proprietor
Practice
- Address
- 14617 Sara Dr
Little Rock, AR 72206 - Phone
- (501) 952-5275
- Fax
- (501) 888-3576
- Organisation at this address
- A 1 U.S. Compnay, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
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 Arkansas