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1548581416
LANCE RONALD JACKSON
ALTADENA, CA
NPI
1548581416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CA ASW111334)
Enumeration Date
2010-06-15
Last Update Date
2024-08-01
Business Address
Mr. LANCE RONALD JACKSON ACSW
2933 EL NIDO DR
ALTADENA, CA 91001-4599
Phone number: 626-395-7100
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Mailing Address
Mr. LANCE RONALD JACKSON ACSW
840 N AVENUE 66
LOS ANGELES, CA 90042-1508
Phone number: 626-395-7100
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