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1235760786
MARY A JACKSON
CHARLOTTESVILLE, VA
NPI
1235760786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0906006974)
Enumeration Date
2020-02-03
Last Update Date
2023-06-09
Business Address
MARY A JACKSON LCSW
435 MERCHANT WALK SQ STE 300 - 624
CHARLOTTESVILLE, VA 22902-5729
Phone number: 434-217-0720
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Mailing Address
MARY A JACKSON LCSW
435 MERCHANT WALK SQ STE 300 - 624
CHARLOTTESVILLE, VA 22902-6514
Phone number: 434-217-0720
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