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1174808018
SHELIA YVONNE JACKSON
CHARLOTTE, NC
NPI
1174808018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P006290)
Enumeration Date
2011-10-11
Last Update Date
2012-11-06
Business Address
-- SHELIA YVONNE JACKSON LCSW-A
1414 WADDELL ST
CHARLOTTE, NC 28216-5146
Phone number: 704-277-8901
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Mailing Address
-- SHELIA YVONNE JACKSON LCSW-A
1414 WADDELL ST
CHARLOTTE, NC 28216-5146
Phone number: 704-277-8901
Copy
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