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1396888335
PATRICIA ANN JACKSON
ABINGDON, VA
NPI
1396888335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: VA 0904006464)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
PATRICIA ANN JACKSON L.C.S.W
420 MINK PL
ABINGDON, VA 24210-3426
Phone number: 276-628-8703
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Mailing Address
PATRICIA ANN JACKSON L.C.S.W
510 CUMBERLAND ST. 4TH FLOOR, EXECUTIVE PLAZA
BRISTOL, VA 24201
Phone number: 276-645-4758
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