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1568755908
MICHAEL WALKER JACKSON
DALTON, GA
NPI
1568755908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA 2756)
Enumeration Date
2011-05-18
Last Update Date
2011-05-18
Business Address
Mr. MICHAEL WALKER JACKSON MS, M.Div.,NCC, LPC
1200 MEMORIAL DR
DALTON, GA 30720-2529
Phone number: 706-272-6480
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Mailing Address
Mr. MICHAEL WALKER JACKSON MS, M.Div.,NCC, LPC
PO BOX 1168 1200 MEMORIAL DR
DALTON, GA 30722-1168
Phone number: 706-272-6480
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