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1073878674
AMELIA C JACKSON
CLARKSTON, MI
NPI
1073878674
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Former Name
AMELIA C RUSSELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MI 6801094446)
Enumeration Date
2012-07-10
Last Update Date
2017-03-06
Business Address
AMELIA C JACKSON LMSW
6549 TOWN CENTER DR SUITE A
CLARKSTON, MI 48346-4824
Phone number: 248-620-6400
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Mailing Address
AMELIA C JACKSON LMSW
6549 TOWN CENTER DR SUITE A
CLARKSTON, MI 48346-4824
Phone number: 248-620-6400
Copy
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