Most Relevant Information
Provider Data
| NPI Number: | 1003671512 |
| Provider Name: | LAURA JACKSON LCSWA |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | P018876 |
Most Important Dates
| Enumeration Date: | 02/14/2024 |
| Last Updated: | 02/14/2024 |
Provider Practice Location
7213 STRAWBERRY FIELDS LN
CHARLOTTE
NC
282786897
Practice Location Phone/Fax
| Phone: | 9809499250 |
| Fax: |
Provider Mailing Location
7213 STRAWBERRY FIELDS LN
CHARLOTTE
NC
282786897
Provider Mailing Phone/Fax
| Phone: | 9809499250 |
| Fax: |