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1700364908
LACREZIA JACKSON
SUFFOLK, VA
NPI
1700364908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: VA 0904010568)
Enumeration Date
2018-07-31
Last Update Date
2018-07-31
Business Address
LACREZIA JACKSON LCSW
7025 HARBOUR VIEW BLVD STE 119
SUFFOLK, VA 23435-2762
Phone number: 757-966-2805
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Mailing Address
LACREZIA JACKSON LCSW
7025 HARBOUR VIEW BLVD STE 119
SUFFOLK, VA 23435-2762
Phone number: 757-966-2805
Copy
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