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1285865097
LESA DIANE JACKSON
COLUMBIA, SC
NPI
1285865097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2009-07-29
Last Update Date
2009-07-29
Business Address
-- LESA DIANE JACKSON MSW
302 ROLLING KNOLL DR
COLUMBIA, SC 29229-9298
Phone number: 254-290-8980
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Mailing Address
-- LESA DIANE JACKSON MSW
302 ROLLING KNOLL DR
COLUMBIA, SC 29229-9298
Phone number: 254-290-8980
Copy
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