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1497953368
HENRY BENSON JACKSON
DETROIT, MI
NPI
1497953368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801085967)
Enumeration Date
2007-07-03
Last Update Date
2008-07-21
Business Address
-- HENRY BENSON JACKSON LLMSW
10 PETERBORO DET. CENTRAL CITY COMMUNITY MENTAL HEALTH
DETROIT, MI 48201-2722
Phone number: 313-831-3160
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Mailing Address
-- HENRY BENSON JACKSON LLMSW
1514 WASHINGTON BLVD APT 605
DETROIT, MI 48226-1785
Phone number: 313-965-1709
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