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1174257307
SAMANTHA JACKSON
CLINTON, NC
NPI
1174257307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P017723)
Enumeration Date
2022-07-13
Last Update Date
2022-07-13
Business Address
SAMANTHA JACKSON
100 LOOP ST
CLINTON, NC 28328-4062
Phone number: 910-596-2221
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Mailing Address
SAMANTHA JACKSON
445 TRADEWINDS DR APT H
FAYETTEVILLE, NC 28314-0063
Phone number: 910-990-3126
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