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1114228442
MELISCIA JACKSON
JACKSONVILLE, FL
NPI
1114228442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-11-03
Last Update Date
2010-11-03
Business Address
Mrs. MELISCIA JACKSON
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254-1725
Phone number: 904-781-7797
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Mailing Address
Mrs. MELISCIA JACKSON
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254-1725
Phone number: 904-781-7797
Copy
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