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1245607357
SAMANTHA RAE JACKSON
CHARDON, OH
NPI
1245607357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OH C.1100378)
Enumeration Date
2015-08-24
Last Update Date
2015-08-24
Business Address
-- SAMANTHA RAE JACKSON LPC
695 SOUTH ST
CHARDON, OH 44024-1474
Phone number: 440-286-1631
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Mailing Address
-- SAMANTHA RAE JACKSON LPC
41 MARSHALL AVE APT. 1
AKRON, OH 44303-1412
Phone number: 330-502-2532
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