Sonya Marie Jackson
Case Manager/Care Coordinator in Washington, DC. Individual provider (NPI-1).
NPI number1669249397
StatusActive
Last updated in NPPESDec 4, 2023
Details
- NPI
- 1669249397
- Entity type
- Individual (NPI-1)
- Name
- Sonya Marie Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2023
- Certification date
- Dec 1, 2023
- Last updated
- Dec 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2124 Martin Luther King Jr Ave SeWashington, DC 20020-5732
Phone 443-812-3742
Mailing address
2124 Martin Luther King Jr Ave SeWashington, DC 20020-5732
Phone 443-812-3742
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