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1215527866
LATOYA JACKSON
DECATUR, GA
NPI
1215527866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: GA CSW006885)
Enumeration Date
2021-01-18
Last Update Date
2023-01-30
Business Address
LATOYA JACKSON LCSW
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
LATOYA JACKSON LCSW
83 OVERLOOK HEIGHTS WAY
STOCKBRIDGE, GA 30281-6016
Phone number: 678-215-8788
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