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1689023947
JUANICKA JACKSON
SOUTHGATE, MI
NPI
1689023947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2016-06-08
Last Update Date
2022-12-13
Business Address
JUANICKA JACKSON
13101 ALLEN RD
SOUTHGATE, MI 48195-2216
Phone number: 734-785-7700
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Mailing Address
JUANICKA JACKSON
8245 BRAMELL
REDFORD, MI 48239-1108
Phone number: 313-703-9888
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