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1669163051
CARISSA MAY JACKSON
PAWTUCKET, RI
NPI
1669163051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI CSW02518)
Enumeration Date
2023-05-16
Last Update Date
2023-05-16
Business Address
CARISSA MAY JACKSON LCSW
200 MAIN ST STE 210
PAWTUCKET, RI 02860-4119
Phone number: 401-728-1800
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Mailing Address
CARISSA MAY JACKSON LCSW
215 PLAINFIELD PIKE
FOSTER, RI 02825-1253
Phone number: 401-529-7272
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