SHANNON MICHELLE JACKSON

BERKELEY, CA
NPI1467621805
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
Enumeration Date2008-02-28
Last Update Date2008-09-29
Business Address
SHANNON MICHELLE JACKSON MA
1255 ALLSTON WAY
BERKELEY, CA 94702-1833
Phone number: 510-849-1402
Mailing Address
SHANNON MICHELLE JACKSON MA
1255 ALLSTON WAY
BERKELEY, CA 94702-1833
Phone number: 510-845-9010
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