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1154445138
GAYNELLA JACKSON
SOUTHFIELD, MI
NPI
1154445138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801059515)
Enumeration Date
2007-03-16
Last Update Date
2007-07-09
Business Address
Ms. GAYNELLA JACKSON LMSW
20700 CIVIC CENTER DR SUITE 170
SOUTHFIELD, MI 48076-4140
Phone number: 248-569-9846
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Mailing Address
Ms. GAYNELLA JACKSON LMSW
20700 CIVIC CENTER DR SUITE 170
SOUTHFIELD, MI 48076-4140
Phone number: 248-569-9846
Copy
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