STACIA JACKSON MARCELLIN, LCSW

NPI: 1316164924 · Individual · Active

Primary Specialty

Clinical Social Worker
Social Worker — Clinical

Practice Location

5145 AVENING CT
CHARLOTTE, NC 28215-8075 Map ↗
Phone: 704-405-7403

All Specialties & Licenses

  • Clinical Social Worker Primary — Clinical (license: P003952, NC)
  • Clinical Social Worker — Clinical (license: G11976, MD)

NPI Registration

Enumerated: 2007-04-18

Last CMS Update: 2017-11-30