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Mark Jackson, LCSW
NPI 1972990844 · on the registry since 2015 · sole proprietor
Practice
- Address
- 513 Menendez St
Venice, FL 34285 - Phone
- (917) 319-1210
- Organisation at this address
- Palmetto Court Alf Of Venice, Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-04-18
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 Florida