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1558789917
NELDA JACKSON
BARTOW, FL
NPI
1558789917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH11378)
Enumeration Date
2014-04-02
Last Update Date
2014-04-02
Business Address
-- NELDA JACKSON MA, LMHC,CAP
2725 STATE ROAD 60 E
BARTOW, FL 33830-8872
Phone number: 863-533-5860
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Mailing Address
-- NELDA JACKSON MA, LMHC,CAP
820 EDITH AVE
LAKELAND, FL 33815-1216
Phone number: 863-533-5860
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