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1184097842
CARROLL S JACKSON
DAYTON, OH
NPI
1184097842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I.0009433)
Enumeration Date
2015-11-03
Last Update Date
2015-12-11
Business Address
-- CARROLL S JACKSON L.I.S.W.
4130 LINDEN AVE SUITE 250
DAYTON, OH 45432-3015
Phone number: 937-681-9644
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Mailing Address
-- CARROLL S JACKSON L.I.S.W.
6504 SEMMES LN
DAYTON, OH 45424-7117
Phone number: 937-681-9644
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