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1487976387
MARK HENRY JACKSON
CLOVIS, CA
NPI
1487976387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 60523)
Enumeration Date
2010-02-18
Last Update Date
2024-06-28
Business Address
Mr. MARK HENRY JACKSON LCSW
3097 WILLOW AVE STE 9
CLOVIS, CA 93612-4715
Phone number: 559-258-0545
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Mailing Address
Mr. MARK HENRY JACKSON LCSW
3097 WILLOW AVE STE 9
CLOVIS, CA 93612-4715
Phone number: 559-258-0545
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