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1194960690
ERIKA K JACKSON
SOMERVILLE, MA
NPI
1194960690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 214905)
Enumeration Date
2008-12-11
Last Update Date
2013-01-31
Business Address
-- ERIKA K JACKSON LCSW
111 SOUTH ST
SOMERVILLE, MA 02143-4297
Phone number: 617-284-5130
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Mailing Address
-- ERIKA K JACKSON LCSW
111 SOUTH ST
SOMERVILLE, MA 02143-4297
Phone number: 617-284-5130
Copy
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