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1154185254
SHONTA JACKSON
LAUREL, MD
NPI
1154185254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225C00000X Rehabilitation Counselor
Enumeration Date
2024-02-08
Last Update Date
2024-02-08
Business Address
SHONTA JACKSON
312 MARSHALL AVE STE 908
LAUREL, MD 20707-4824
Phone number: 800-994-5403
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Mailing Address
SHONTA JACKSON
312 MARSHALL AVE STE 908
LAUREL, MD 20707-4824
Phone number:
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