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1093754673
TOMMIE S. JACKSON
WINSTON SALEM, NC
NPI
1093754673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 925)
Enumeration Date
2006-06-06
Last Update Date
2009-07-08
Business Address
Ms. TOMMIE S. JACKSON
453 W END BLVD
WINSTON SALEM, NC 27101-1120
Phone number: 336-750-0130
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Mailing Address
Ms. TOMMIE S. JACKSON
453 W END BLVD
WINSTON SALEM, NC 27101-1120
Phone number: 336-750-0130
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