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1649643487
SHALANDA JACKSON
RICHMOND, VA
NPI
1649643487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904009104)
Enumeration Date
2015-11-02
Last Update Date
2015-11-02
Business Address
-- SHALANDA JACKSON LCSW
3349 COFER RD APT B
RICHMOND, VA 23224
Phone number: 804-665-3147
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Mailing Address
-- SHALANDA JACKSON LCSW
3349 COFER RD APT B
RICHMOND, VA 23224
Phone number:
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