Jackson Innovations PLLC
Jackson Innovations PLLC provides Clinical Social Worker services in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2007.
- Licensed in
- MI
- In the registry since
- 2007
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
20700 Civic Center Dr Ste 170Southfield, MI 48076-4140
Phone: (248) 569-9846
Fax: (248) 569-1919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 6801059515 (MI) |
|---|
Record details
| NPI number | 1750405734 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gaynella Jackson — Clinical Director · (248) 569-9846 |
| NPI enumerated | March 16, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 20700 Civic Center Dr, Suite 170, Southfield, MI 48076-4140 |
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