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1407626062
MELISSA ELIZABETH JACKSON
LEESBURG, VA
NPI
1407626062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0906014997)
Enumeration Date
2024-01-04
Last Update Date
2024-01-04
Business Address
Miss MELISSA ELIZABETH JACKSON MSW
19 E MARKET ST STE 301
LEESBURG, VA 20176-3001
Phone number: 973-527-1896
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Mailing Address
Miss MELISSA ELIZABETH JACKSON MSW
2700 NEABSCO COMMON PL APT 321
WOODBRIDGE, VA 22191-6781
Phone number: 973-527-1896
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