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1184102501
KATRICE JEWELEAN JACKSON
LOS ANGELES, CA
NPI
1184102501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS18822)
Enumeration Date
2018-07-30
Last Update Date
2022-07-21
Business Address
Ms. KATRICE JEWELEAN JACKSON LCSW
1465 E 103RD ST
LOS ANGELES, CA 90002-3306
Phone number: 323-564-7911
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Mailing Address
Ms. KATRICE JEWELEAN JACKSON LCSW
1465 E 103RD ST
LOS ANGELES, CA 90002-3306
Phone number: 323-564-7911
Copy
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