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1194578476
JENNIFER JACKSON
LOS ANGELES, CA
NPI
1194578476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 121904)
Enumeration Date
2024-04-08
Last Update Date
2024-04-08
Business Address
JENNIFER JACKSON LCSW
5740 YORK BLVD
LOS ANGELES, CA 90042-2617
Phone number: 323-250-2780
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Mailing Address
JENNIFER JACKSON LCSW
PO BOX 4269
BURBANK, CA 91503-4269
Phone number: 323-250-2780
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