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1710230917
SANDRA EVANS JACKSON
GREENVILLE, NC
NPI
1710230917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: NC A9791)
Enumeration Date
2012-10-25
Last Update Date
2012-10-25
Business Address
SANDRA EVANS JACKSON M.S.
1035 DIRECTOR CT SUITE C
GREENVILLE, NC 27858-5996
Phone number: 252-215-9011
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Mailing Address
SANDRA EVANS JACKSON M.S.
2810 BELLS FORK RD
GREENVILLE, NC 27858-8083
Phone number: 252-353-7969
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