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1356423594
JERRY EDWIN JACKSON
WILMINGTON, NC
NPI
1356423594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 5109)
Enumeration Date
2006-10-19
Last Update Date
2007-07-09
Business Address
-- JERRY EDWIN JACKSON LPC
3963 MARKET STREET SUITE A
WILMINGTON, NC 28403
Phone number: 910-362-9474
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Mailing Address
-- JERRY EDWIN JACKSON LPC
3963 MARKET STREET SUITE A
WILMINGTON, NC 28403
Phone number: 910-362-9474
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