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1053660399
KIM ANISE JACKSON-MCCALLA
TAMPA, FL
NPI
1053660399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-08-31
Last Update Date
2013-03-20
Business Address
-- KIM ANISE JACKSON-MCCALLA M.S.
1412 TECH BLVD
TAMPA, FL 33610
Phone number: 813-635-9765
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Mailing Address
-- KIM ANISE JACKSON-MCCALLA M.S.
1513 E. 31ST AVE
TAMPA, FL 33610
Phone number: 813-340-2286
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