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1194765289
DIANE CATHLEEN JACKSON
FAYETTEVILLE, NC
NPI
1194765289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C004576)
Enumeration Date
2006-06-07
Last Update Date
2011-09-26
Business Address
-- DIANE CATHLEEN JACKSON LCSW
806 HAY ST
FAYETTEVILLE, NC 28305-5312
Phone number: 910-822-3333
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Mailing Address
-- DIANE CATHLEEN JACKSON LCSW
806 HAY ST
FAYETTEVILLE, NC 28305-5312
Phone number: 910-822-3333
Copy
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