LORETTA PATRICE JACKSON

BRUNSWICK, GA
NPI1063171510
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: GA  CSW007274)
Enumeration Date2021-12-13
Last Update Date2021-12-13
Business Address
LORETTA PATRICE JACKSON LCSW
323 HONEYGAL RD
BRUNSWICK, GA 31525-5530
Phone number: 191-224-2279
Mailing Address
LORETTA PATRICE JACKSON LCSW
323 HONEYGAL RD
BRUNSWICK, GA 31525-5530
Phone number: 191-224-2279
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