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1497985113
STEPHANIE C JACKSON
LINDEN, MI
NPI
1497985113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801095974)
Enumeration Date
2009-07-15
Last Update Date
2023-07-31
Business Address
STEPHANIE C JACKSON LMSW
616 W BROAD ST
LINDEN, MI 48451-8645
Phone number: 810-936-0079
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Mailing Address
STEPHANIE C JACKSON LMSW
616 W BROAD ST
LINDEN, MI 48451-8645
Phone number: 810-936-0079
Copy
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