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1245327527
STACEY N JACKSON
DECATUR, AL
NPI
1245327527
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Former Name
STACEY N. THOMPSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: AL 1798-C)
Enumeration Date
2006-10-06
Last Update Date
2011-08-05
Business Address
-- STACEY N JACKSON L.C.S.W. P.I.P
1615 KATHY LN SW PO BX 2240
DECATUR, AL 35603-1026
Phone number: 256-306-4128
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Mailing Address
-- STACEY N JACKSON L.C.S.W. P.I.P
1615 KATHY LN SW PO BX 2240
DECATUR, AL 35603-1026
Phone number: 256-306-4128
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