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1184992448
CARNELL JACKIE JACKSON
PROVIDENCE, RI
NPI
1184992448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2011-12-01
Last Update Date
2011-12-01
Business Address
-- CARNELL JACKIE JACKSON MSW
153 SUMMER ST
PROVIDENCE, RI 02903-4011
Phone number: 401-276-4300
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Mailing Address
-- CARNELL JACKIE JACKSON MSW
153 SUMMER ST
PROVIDENCE, RI 02903-4011
Phone number: 401-721-6430
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