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1205143476
BRIAN K. JACKSON
CONCORD, NC
NPI
1205143476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-09-08
Last Update Date
2013-08-02
Business Address
-- BRIAN K. JACKSON LCSW, LCAS
284 EXECUTIVE PARK DR SUITE 100
CONCORD, NC 28025-1894
Phone number: 704-939-1118
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Mailing Address
-- BRIAN K. JACKSON LCSW, LCAS
284 EXECUTIVE PARK DR SUITE 100
CONCORD, NC 28025-1894
Phone number: 704-939-1118
Copy
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