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1184952459
URSULA ANN JACKSON
EAST HARTFORD, CT
NPI
1184952459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 006586)
Enumeration Date
2009-11-25
Last Update Date
2009-12-02
Business Address
Mrs. URSULA ANN JACKSON LCSW
450 FORBES ST
EAST HARTFORD, CT 06118-1716
Phone number: 860-622-5340
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Mailing Address
Mrs. URSULA ANN JACKSON LCSW
763 BURNSIDE AVE
EAST HARTFORD, CT 06108-2791
Phone number: 860-291-9754
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