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1629109665
MARY Y JACKSON
DURHAM, NC
NPI
1629109665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC c001005)
Enumeration Date
2007-03-09
Last Update Date
2007-07-08
Business Address
Ms. MARY Y JACKSON LCSW
1804 MARTIN LUTHER KING JR. PARKWAY SUITE 210
DURHAM, NC 27707-2933
Phone number: 919-489-2254
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Mailing Address
Ms. MARY Y JACKSON LCSW
16 BURGESS LN
DURHAM, NC 27707-2933
Phone number: 919-493-3888
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