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1578041752
JANAE JACKSON
FREDERICKSBURG, VA
NPI
1578041752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904010608)
Enumeration Date
2018-07-31
Last Update Date
2018-07-31
Business Address
JANAE JACKSON LMHP, LCSW
10715 SPOTSYLVANIA AVE
FREDERICKSBURG, VA 22408-2674
Phone number: 540-339-3640
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Mailing Address
JANAE JACKSON LMHP, LCSW
18518 QUANTICO GATEWAY DR
TRIANGLE, VA 22172-1773
Phone number: 571-641-9745
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