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1154016863
DERDA JACKSON
JACKSONVILLE, FL
NPI
1154016863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH21947)
Enumeration Date
2023-04-07
Last Update Date
2023-04-07
Business Address
Ms. DERDA JACKSON LMHC
8773 WHISPERING PINES DR
JACKSONVILLE, FL 32244-6226
Phone number: 904-776-1061
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Mailing Address
Ms. DERDA JACKSON LMHC
8773 WHISPERING PINES DR
JACKSONVILLE, FL 32244-6226
Phone number: 904-776-1061
Copy
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