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1497041669
DELORES JACKSON
SAN ANTONIO, TX
NPI
1497041669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 23587)
Enumeration Date
2011-06-24
Last Update Date
2014-01-21
Business Address
Ms. DELORES JACKSON LCSW
2121 SW 36TH ST
SAN ANTONIO, TX 78237-3360
Phone number: 210-358-5100
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Mailing Address
Ms. DELORES JACKSON LCSW
PO BOX 87
SAN ANTONIO, TX 78291-0087
Phone number: 210-358-9172
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