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1710460100
SHERRY JACKSON
WAKEFIELD, RI
NPI
1710460100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 113080)
Enumeration Date
2018-09-11
Last Update Date
2018-09-11
Business Address
Ms. SHERRY JACKSON LICSW
108 CAMP FULLER RD
WAKEFIELD, RI 02879-4500
Phone number: 401-633-2682
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Mailing Address
Ms. SHERRY JACKSON LICSW
108 CAMP FULLER RD
WAKEFIELD, RI 02879-4500
Phone number: 401-633-2682
Copy
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