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1154506681
THERESA JACKSON
COLUMBUS, GA
NPI
1154506681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2008-01-03
Last Update Date
2008-01-03
Business Address
-- THERESA JACKSON
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-596-5764
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Mailing Address
-- THERESA JACKSON
191 WAVERLY HALL RD
BOX SPRINGS, GA 31801-7527
Phone number: 706-269-3484
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