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1255780078
TANEKA CARNES-JACKSON
STOCKTON, CA
NPI
1255780078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 65715)
Enumeration Date
2016-06-13
Last Update Date
2017-04-18
Business Address
-- TANEKA CARNES-JACKSON LCSW
3131 ARCH AIRPORT RD #31072
STOCKTON, CA 95213-3000
Phone number: 951-377-0910
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Mailing Address
-- TANEKA CARNES-JACKSON LCSW
3131 ARCH AIRPORT RD #31072
STOCKTON, CA 95213-3000
Phone number: 951-377-0910
Copy
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