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1538682968
LA DAJAH R JACKSON
DETROIT, MI
NPI
1538682968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6851103837)
Enumeration Date
2017-07-18
Last Update Date
2024-03-14
Business Address
LA DAJAH R JACKSON
8600 WOODWARD AVE
DETROIT, MI 48202-2142
Phone number: 313-875-7601
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Mailing Address
LA DAJAH R JACKSON
1736 ESTATES DR
DETROIT, MI 48206-2825
Phone number: 269-245-9731
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