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1629528849
ANTOINE JACKSON
BETHESDA, MD
NPI
1629528849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: PA SW133710)
Enumeration Date
2016-10-12
Last Update Date
2016-10-12
Business Address
-- ANTOINE JACKSON MSW
9080 BEALE RD BUILDING 62, 3RD FLOOR
BETHESDA, MD 20889-5633
Phone number: 301-319-2587
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Mailing Address
-- ANTOINE JACKSON MSW
9080 BEALE RD BUILDING 62, 3RD FLOOR
BETHESDA, MD 20889-5633
Phone number: 301-319-2587
Copy
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