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1376094938
STEPHANY JACKSON
RALEIGH, NC
NPI
1376094938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P010215)
Enumeration Date
2016-10-19
Last Update Date
2016-10-19
Business Address
-- STEPHANY JACKSON LCSWA
3125 POPLARWOOD CT
RALEIGH, NC 27604-1084
Phone number: 919-790-8580
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Mailing Address
-- STEPHANY JACKSON LCSWA
7009 KALMIA LN
HOPE MILLS, NC 28348-9278
Phone number: 910-568-2316
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