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1346718228
TAKIYA NACHELLE JACKSON
ARLINGTON, VA
NPI
1346718228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist School
(Licence: VA PPS-0606160)
Enumeration Date
2018-11-08
Last Update Date
2018-11-08
Business Address
MRS. TAKIYA NACHELLE JACKSON M.ED
2700 S LANG ST
ARLINGTON, VA 22206-3106
Phone number: 703-228-6943
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Mailing Address
MRS. TAKIYA NACHELLE JACKSON M.ED
2100 WASHINGTON BLVD
ARLINGTON, VA 22204-5703
Phone number: 703-228-6061
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