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1356584528
MARVINA JACKSON
WILLINGBORO, NJ
NPI
1356584528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
174400000X Specialist
(Licence: NJ s4356)
Enumeration Date
2009-04-17
Last Update Date
2009-04-17
Business Address
-- MARVINA JACKSON
218A SUNSET RD
WILLINGBORO, NJ 08046-1110
Phone number: 609-835-6180
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Mailing Address
-- MARVINA JACKSON
1289 ROUTE 38
HAINESPORT, NJ 08036-2730
Phone number: 609-267-5656
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