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1750492336
KIMBERLY ANN JACKSON
GRAND RAPIDS, MI
NPI
1750492336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801086964)
Enumeration Date
2006-08-31
Last Update Date
2008-12-15
Business Address
-- KIMBERLY ANN JACKSON LMSW
781 36TH ST SE
GRAND RAPIDS, MI 49548-2319
Phone number: 616-248-5272
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Mailing Address
-- KIMBERLY ANN JACKSON LMSW
1505 SPENCER ST NE
GRAND RAPIDS, MI 49505-5530
Phone number: 616-818-9855
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