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1285713214
AMY JACKSON
CEDAR RAPIDS, IA
NPI
1285713214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 02618)
Enumeration Date
2006-11-02
Last Update Date
2007-07-08
Business Address
-- AMY JACKSON LISW
520 11TH ST NW
CEDAR RAPIDS, IA 52405-3811
Phone number: 319-398-3562
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Mailing Address
-- AMY JACKSON LISW
520 11TH ST NW
CEDAR RAPIDS, IA 52405-3811
Phone number: 319-398-3562
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