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1184031445
CHARISSA JACKSON
LITTLE ROCK, AR
NPI
1184031445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2014-07-18
Last Update Date
2014-07-18
Business Address
-- CHARISSA JACKSON
6601 W 12TH ST
LITTLE ROCK, AR 72204-1513
Phone number: 501-666-8686
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Mailing Address
-- CHARISSA JACKSON
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686
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