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Brittany Jackson, LSW
NPI 1992355184 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1525 Sudbury Ln Apt D
Fairborn, OH 45324 - Phone
- (937) 304-1832
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-19
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 Ohio