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1467621805
SHANNON MICHELLE JACKSON
BERKELEY, CA
NPI
1467621805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2008-02-28
Last Update Date
2008-09-29
Business Address
-- SHANNON MICHELLE JACKSON MA
1255 ALLSTON WAY
BERKELEY, CA 94702-1833
Phone number: 510-849-1402
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Mailing Address
-- SHANNON MICHELLE JACKSON MA
1255 ALLSTON WAY
BERKELEY, CA 94702-1833
Phone number: 510-845-9010
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