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1265657910
SHANNA DAWN JACKSON
ATLANTA, GA
NPI
1265657910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC004052)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
-- SHANNA DAWN JACKSON MS, LPC
1900 CENTURY PL NE STE 200
ATLANTA, GA 30345-4307
Phone number: 404-934-9957
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Mailing Address
-- SHANNA DAWN JACKSON MS, LPC
1373 IVERSON ST NE
ATLANTA, GA 30307-2076
Phone number: 404-254-2847
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