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1093394694
ANGELA ANN JACKSON
KYLE, TX
NPI
1093394694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 61721)
Enumeration Date
2021-04-02
Last Update Date
2021-04-02
Business Address
ANGELA ANN JACKSON LCSW-S
915 GOLDENROD ST
KYLE, TX 78640-5459
Phone number: 512-262-8126
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Mailing Address
ANGELA ANN JACKSON LCSW-S
915 GOLDENROD ST
KYLE, TX 78640-5459
Phone number: 512-262-8126
Copy
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