LAVONNE JACKSON

CLEARWATER, FL
NPI1316576937
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  18659)
Enumeration Date2020-04-06
Last Update Date2020-04-06
Business Address
LAVONNE JACKSON
622 S BETTY LN APT 2
CLEARWATER, FL 33756-6080
Phone number: 757-769-9056
Mailing Address
LAVONNE JACKSON
PO BOX 7215
CLEARWATER, FL 33758-7215
Phone number: 757-769-9056
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