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1467798975
CHISSY LYNN JACKSON
GRAND PRAIRIE, TX
NPI
1467798975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: TX 34044)
Enumeration Date
2013-01-02
Last Update Date
2013-01-02
Business Address
MRS. CHISSY LYNN JACKSON LCSW
2580 W CAMP WISDOM RD SUITE 100 #135
GRAND PRAIRIE, TX 75052-3088
Phone number: 817-688-6264
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Mailing Address
MRS. CHISSY LYNN JACKSON LCSW
2580 W CAMP WISDOM RD SUITE 100 #135
GRAND PRAIRIE, TX 75052-3088
Phone number: 817-688-6264
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