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1013212711
HOLLY JACKSON
KANSAS CITY, MO
NPI
1013212711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KS 7967)
Enumeration Date
2011-01-11
Last Update Date
2011-01-11
Business Address
Mrs. HOLLY JACKSON LMSW
511 W 86TH TER
KANSAS CITY, MO 64114-2822
Phone number: 816-377-6872
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Mailing Address
Mrs. HOLLY JACKSON LMSW
511 W 86TH TER
KANSAS CITY, MO 64114-2822
Phone number: 816-377-6872
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