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1003126699
KIM M JACKSON
PEPPER PIKE, OH
NPI
1003126699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH S.0027712)
Enumeration Date
2010-10-15
Last Update Date
2010-10-15
Business Address
-- KIM M JACKSON LSW
3737 LANDER ROAD
PEPPER PIKE, OH 44124-5712
Phone number: 216-831-2255
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Mailing Address
-- KIM M JACKSON LSW
11801 BUCKEYE ROAD
CLEVELAND, OH 44120-2620
Phone number: 216-831-2255
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