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1568025807
EBONY JACKSON
FLORENCE, KY
NPI
1568025807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 253805)
Enumeration Date
2019-04-22
Last Update Date
2021-01-14
Business Address
EBONY JACKSON lcsw
1655 BURLINGTON PIKE STE 101
FLORENCE, KY 41042-4909
Phone number: 859-992-2692
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Mailing Address
EBONY JACKSON lcsw
6060 CELTIC ASH AVE
FLORENCE, KY 41042-1795
Phone number: 859-209-6823
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