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1669134839
STEFANI MICHON JACKSON
LAWRENCEVILLE, GA
NPI
1669134839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 24016)
Enumeration Date
2021-10-06
Last Update Date
2024-12-16
Business Address
Ms. STEFANI MICHON JACKSON LCSW-C
880 SUNNY LAKE DR
LAWRENCEVILLE, GA 30043-4562
Phone number: 301-284-8176
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Mailing Address
Ms. STEFANI MICHON JACKSON LCSW-C
1531 ROCKVILLE PIKE STE 1043
ROCKVILLE, MD 20852-1601
Phone number: 301-284-8176
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