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1538717350
VAGILLIA FAYE JACKSON
COVINGTON, GA
NPI
1538717350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: GA MSW008760)
Enumeration Date
2019-08-27
Last Update Date
2019-08-27
Business Address
Mrs. VAGILLIA FAYE JACKSON LMSW
545 ST ANNES PL
COVINGTON, GA 30016-4123
Phone number: 407-557-6255
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Mailing Address
Mrs. VAGILLIA FAYE JACKSON LMSW
545 ST ANNES PL
COVINGTON, GA 30016-4123
Phone number: 407-557-6255
Copy
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