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1205874369
GLORIA JACKSON
DETROIT, MI
NPI
1205874369
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Professional Name
GLORIA JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801019214)
Enumeration Date
2006-06-02
Last Update Date
2007-07-08
Business Address
GLORIA JACKSON MSW
220 W CONGRESS ST FL 2
DETROIT, MI 48226-3289
Phone number: 313-963-4979
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Mailing Address
GLORIA JACKSON MSW
220 W CONGRESS ST 2ND FLOOR
DETROIT, MI 48226-3289
Phone number: 313-963-4979
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