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1316399090
DEBORAH JACKSON
COLUMBIA, SC
NPI
1316399090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SC 5493)
Enumeration Date
2016-07-06
Last Update Date
2016-07-06
Business Address
-- DEBORAH JACKSON
2212 DEVINE ST STE D
COLUMBIA, SC 29205-2402
Phone number: 803-206-7024
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Mailing Address
-- DEBORAH JACKSON
2212 DEVINE ST STE D
COLUMBIA, SC 29205-2402
Phone number: 803-206-7024
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