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1427680495
KENEISHA JACKSON
SAN JOSE, CA
NPI
1427680495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CA ACSW120109)
Enumeration Date
2020-02-07
Last Update Date
2024-01-17
Business Address
KENEISHA JACKSON
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112-5865
Phone number: 408-918-2682
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Mailing Address
KENEISHA JACKSON
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334-5326
Phone number:
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