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1235583758
CARLTON JACKSON
DEARBORN, MI
NPI
1235583758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
1041C0700X Social Worker, Clinical
Enumeration Date
2016-04-21
Last Update Date
2016-04-21
Business Address
-- CARLTON JACKSON
3101 S GULLEY RD STE F
DEARBORN, MI 48124-4406
Phone number: 734-407-2500
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Mailing Address
-- CARLTON JACKSON
136 WILLIAM ST
SPRINGFIELD, MA 01105-2324
Phone number: 734-407-2500
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