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1003955162
KIMBERLY JACKSON
AUSTIN, TX
NPI
1003955162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 39011)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
-- KIMBERLY JACKSON LCSW
1106 CLAYTON LN SUITE 212E
AUSTIN, TX 78723-1066
Phone number: 512-659-3023
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Mailing Address
-- KIMBERLY JACKSON LCSW
1301 KAREN AVE
AUSTIN, TX 78757-3017
Phone number: 512-458-5866
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