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1649000589
NEDRA RENAE JACKSON
OAKLAND, CA
NPI
1649000589
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Former Name
NEDRA RENAE JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW99389)
Enumeration Date
2024-08-06
Last Update Date
2024-08-06
Business Address
NEDRA RENAE JACKSON LCSW, CADC-CAS I
550 ELYSIAN FIELDS DR
OAKLAND, CA 94605-5010
Phone number: 510-813-0734
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Mailing Address
NEDRA RENAE JACKSON LCSW, CADC-CAS I
550 ELYSIAN FIELDS DR
OAKLAND, CA 94605-5010
Phone number: 510-813-0734
Copy
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