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1346633229
CASSONDRA JACKSON
GRAYSON, GA
NPI
1346633229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC004749)
Enumeration Date
2015-03-16
Last Update Date
2015-03-16
Business Address
Ms. CASSONDRA JACKSON APC
1076 HAWTHORN LN
GRAYSON, GA 30017-4208
Phone number: 678-492-9332
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Mailing Address
Ms. CASSONDRA JACKSON APC
1076 HAWTHORN LN
GRAYSON, GA 30017-4208
Phone number: 678-492-9332
Copy
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