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1730103771
NEAL JACKSON VERNON
COLUMBIA, SC
NPI
1730103771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: SC 8507)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
-- NEAL JACKSON VERNON L.M.S.W
11 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203-6863
Phone number: 803-434-1251
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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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