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Mark Jackson, MSW
NPI 1932488194 · on the registry since 2011 · sole proprietor
Practice
- Address
- 119 Kona Dr
Galveston, TX 77554 - Phone
- (409) 354-1838
- Fax
- (409) 935-9193
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-08-05
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 Texas