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1275640195
VIOLETTE A JACKSON
POWAY, CA
NPI
1275640195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS15995)
Enumeration Date
2006-08-24
Last Update Date
2011-10-11
Business Address
-- VIOLETTE A JACKSON LCS
15525 POMERADO RD STE E4
POWAY, CA 92064-2427
Phone number: 858-674-5958
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Mailing Address
-- VIOLETTE A JACKSON LCS
15525 POMERADO RD STE E4
POWAY, CA 92064-2427
Phone number: 858-674-5958
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