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1669798112
MICHELLE JACKSON
PHILADELPHIA, PA
NPI
1669798112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW016607)
Enumeration Date
2010-04-08
Last Update Date
2010-04-08
Business Address
Ms. MICHELLE JACKSON LCSW
4025 CHESTNUT ST FL 1
PHILADELPHIA, PA 19104-3054
Phone number: 215-382-6680
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Mailing Address
Ms. MICHELLE JACKSON LCSW
4025 CHESTNUT ST FL 1
PHILADELPHIA, PA 19104-3054
Phone number: 215-382-6680
Copy
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