| Marilyn Sledge Jackson/safe Harbor | |
|
1040 Longfield Ct Montgomery AL 36117-8055 | |
| (334) 288-9009 | |
| (334) 288-9497 |
| Full Name | Marilyn Sledge Jackson/safe Harbor |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1040 Longfield Ct, Montgomery, Alabama |
| Authorized Official Name and Position | Marilyn Sledge Jackson (THERAPIST) |
| Authorized Official Contact | 3342358158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marilyn Sledge Jackson/safe Harbor 2325 Briar Gate Dr Montgomery AL 36116-2154 Ph: (334) 235-8158 | Marilyn Sledge Jackson/safe Harbor 1040 Longfield Ct Montgomery AL 36117-8055 Ph: (334) 288-9009 |
| NPI Number | 1750729646 |
|---|---|
| Provider Enumeration Date | 06/12/2013 |
| Last Update Date | 06/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750729646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0942-2160C (Alabama) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2160C (Alabama) | Primary |
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