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1407181712
CHARMAINE JACKSON
LOS ANGELES, CA
NPI
1407181712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW78456)
Enumeration Date
2009-10-05
Last Update Date
2019-02-22
Business Address
CHARMAINE JACKSON LCSW
1933 S BROADWAY FL 6
LOS ANGELES, CA 90007-4501
Phone number: 909-291-5766
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Mailing Address
CHARMAINE JACKSON LCSW
1933 S BROADWAY FL 6
LOS ANGELES, CA 90007-4501
Phone number: 909-291-5766
Copy
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