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1528779816
MICHAEL TIMOTHY JACKSON
JACKSON, MI
NPI
1528779816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6802089884)
Enumeration Date
2022-12-08
Last Update Date
2022-12-08
Business Address
MICHAEL TIMOTHY JACKSON BSW
216 E BIDDLE ST
JACKSON, MI 49203-1800
Phone number: 517-783-3434
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Mailing Address
MICHAEL TIMOTHY JACKSON BSW
PO BOX 6159
JACKSON, MI 49204-6159
Phone number: 517-783-3434
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