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1003665688
MELISSA-IRENE JACKSON
RICHMOND, VA
NPI
1003665688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904016287)
Enumeration Date
2024-05-15
Last Update Date
2024-05-15
Business Address
MELISSA-IRENE JACKSON LCSW
2219 W MAIN ST
RICHMOND, VA 23220-4432
Phone number: 804-234-3158
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Mailing Address
MELISSA-IRENE JACKSON LCSW
2219 W MAIN ST
RICHMOND, VA 23220-4432
Phone number:
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