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1588301022
SUMMER JACKSON
BERKELEY, CA
NPI
1588301022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW71611)
Enumeration Date
2022-05-17
Last Update Date
2022-05-17
Business Address
SUMMER JACKSON LCSW
725 NEILSON ST
BERKELEY, CA 94707-1813
Phone number: 510-406-4496
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Mailing Address
SUMMER JACKSON LCSW
1748 SHATTUCK AVE PMB 154
BERKELEY, CA 94709-1720
Phone number:
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