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1720589773
KEIJUANNA JANEE JACKSON
FORT WORTH, TX
NPI
1720589773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: TX 59218)
Enumeration Date
2018-02-26
Last Update Date
2018-02-26
Business Address
Miss KEIJUANNA JANEE JACKSON LMSW
2928 W 5TH ST
FORT WORTH, TX 76107-2242
Phone number: 817-332-6348
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Mailing Address
Miss KEIJUANNA JANEE JACKSON LMSW
2340 CAP ROCK LN
FORT WORTH, TX 76133-8906
Phone number: 219-789-1899
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