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1659390318
FANITA LAKAYE JACKSON-NORMAN
DAYTONA BEACH, FL
NPI
1659390318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW0004175)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
-- FANITA LAKAYE JACKSON-NORMAN LCSW
551 NATIONAL HEALTH CARE DR
DAYTONA BEACH, FL 32114-1495
Phone number: 386-323-7530
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Mailing Address
-- FANITA LAKAYE JACKSON-NORMAN LCSW
589 S INDIGO RD
ALTAMONTE SPRINGS, FL 32714-3197
Phone number: 407-463-5500
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