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1225595200
LATISHA LASHON JACKSON
CONWAY, SC
NPI
1225595200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2019-02-26
Last Update Date
2019-02-26
Business Address
LATISHA LASHON JACKSON MSW
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
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Mailing Address
LATISHA LASHON JACKSON MSW
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
Copy
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