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1679352017
KIMBERLY L JACKSON
LITHONIA, GA
NPI
1679352017
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Former Name
KIMBERLY L JACKSON -GAYLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: OH S.1100848)
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
KIMBERLY L JACKSON LSW, MSW
2776 PARKWAY CV
LITHONIA, GA 30058-4656
Phone number: 419-699-2288
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Mailing Address
KIMBERLY L JACKSON LSW, MSW
2776 PARKWAY CV
LITHONIA, GA 30058-4656
Phone number: 419-699-2288
Copy
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