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1093104234
KATINA JACKSON
TALLAHASSEE, FL
NPI
1093104234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW 10602)
Enumeration Date
2015-01-12
Last Update Date
2015-01-12
Business Address
Mrs. KATINA JACKSON LCSW
1607 SAINT JAMES CT
TALLAHASSEE, FL 32308-5352
Phone number: 850-878-0191
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Mailing Address
Mrs. KATINA JACKSON LCSW
8050 BLUE STAR HWY
CHATTAHOOCHEE, FL 32324-2934
Phone number: 850-273-2322
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