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1710180872
CAROL JACKSON
FAYETTEVILLE, AR
NPI
1710180872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I 0028219)
Enumeration Date
2007-06-07
Last Update Date
2015-05-26
Business Address
-- CAROL JACKSON LISW - S, LICDC
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1944
Phone number: 479-444-4044
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Mailing Address
-- CAROL JACKSON LISW - S, LICDC
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-742-8387
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