NEAL JACKSON VERNON

COLUMBIA, SC
NPI1730103771
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: SC  8507)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
NEAL JACKSON VERNON L.M.S.W
11 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203-6863
Phone number: 803-434-1251
Mailing Address
NEAL JACKSON VERNON L.M.S.W
1116 OLYMPIA AVE APT B
COLUMBIA, SC 29201-4426
Phone number: 803-238-9417
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