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1487990149
LAURIE JACKSON
HENDERSONVILLE, TN
NPI
1487990149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TN 9553)
Enumeration Date
2012-12-27
Last Update Date
2019-08-12
Business Address
LAURIE JACKSON LCSW
107 IMPERIAL BLVD
HENDERSONVILLE, TN 37075-3479
Phone number: 615-618-5029
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Mailing Address
LAURIE JACKSON LCSW
107 IMPERIAL BLVD
HENDERSONVILLE, TN 37075-3479
Phone number: 156-185-0296
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