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1336812890
ELIZABETH JACKSON
GREENVILLE, SC
NPI
1336812890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: SC 6927)
Enumeration Date
2021-07-29
Last Update Date
2021-07-29
Business Address
MRS. ELIZABETH JACKSON LPC-A
127 W ANTRIM DR
GREENVILLE, SC 29607-2505
Phone number: 864-239-4110
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Mailing Address
MRS. ELIZABETH JACKSON LPC-A
205 TUMBLEWEED TER
TAYLORS, SC 29687-5623
Phone number: 803-807-7345
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