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1295115749
CELITTA ANN JACKSON
SILVER SPRING, MD
NPI
1295115749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MD LC5556)
Enumeration Date
2015-05-30
Last Update Date
2015-05-30
Business Address
Miss CELITTA ANN JACKSON LCPC
1620 ELTON RD SUITE 206
SILVER SPRING, MD 20903-1740
Phone number: 301-439-7191
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Mailing Address
Miss CELITTA ANN JACKSON LCPC
26 ARK RD
LOTHIAN, MD 20711-2901
Phone number: 410-980-2745
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