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1063771996
CAROLYN JANE JACKSON
TAMPA, FL
NPI
1063771996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL sw10436)
Enumeration Date
2012-05-12
Last Update Date
2012-05-12
Business Address
Ms. CAROLYN JANE JACKSON LCSW
200 S HOOVER BLVD SUITE 170
TAMPA, FL 33609-3540
Phone number: 727-692-7096
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Mailing Address
Ms. CAROLYN JANE JACKSON LCSW
PO BOX 320331
TAMPA, FL 33679-2331
Phone number: 727-692-7096
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