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1700186707
MARY SEBRENA JACKSON
MCDONOUGH, GA
NPI
1700186707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW004250)
Enumeration Date
2010-10-25
Last Update Date
2010-10-25
Business Address
Dr. MARY SEBRENA JACKSON LCSW
450 RACETRACK RD
MCDONOUGH, GA 30252-6837
Phone number: 770-305-9881
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Mailing Address
Dr. MARY SEBRENA JACKSON LCSW
PO BOX 123
MCDONOUGH, GA 30253-0123
Phone number: 770-305-9881
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