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1134505811
WROKSIE JACKSON
LAWRENCEVILLE, GA
NPI
1134505811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA CSW005380)
Enumeration Date
2015-08-05
Last Update Date
2015-08-05
Business Address
-- WROKSIE JACKSON LCSW
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
-- WROKSIE JACKSON LCSW
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
Copy
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