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1083320097
KATHERINA JACKSON
FOLSOM, CA
NPI
1083320097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 19645)
Enumeration Date
2023-01-24
Last Update Date
2023-01-24
Business Address
KATHERINA JACKSON LCSW
1662 HAPTON CT
FOLSOM, CA 95630-7327
Phone number: 239-297-2599
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Mailing Address
KATHERINA JACKSON LCSW
1662 HAPTON CT
FOLSOM, CA 95630-7327
Phone number: 239-297-2599
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