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1447261110
MICHELLE RENE' JACKSON
LEBANON, MO
NPI
1447261110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2005018482)
Enumeration Date
2006-08-10
Last Update Date
2015-07-23
Business Address
Ms. MICHELLE RENE' JACKSON MSW, LCSW
24728 FALCON RD
LEBANON, MO 65536-6137
Phone number: 417-622-8472
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Mailing Address
Ms. MICHELLE RENE' JACKSON MSW, LCSW
24728 FALCON ROAD
LEBANON, MO 65536-6137
Phone number: 417-622-8472
Copy
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