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 |
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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 | 2160C (Alabama) | Primary |
1041C0700X | Social Worker - Clinical | 0942-2160C (Alabama) | Secondary |
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