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1780104455
SHANTIUS JACKSON
HYATTSVILLE, MD
NPI
1780104455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2017-06-23
Last Update Date
2017-06-23
Business Address
SHANTIUS JACKSON LPC
2400 QUEENS CHAPEL RD APT 402
HYATTSVILLE, MD 20782-3637
Phone number: 305-345-5401
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Mailing Address
SHANTIUS JACKSON LPC
2400 QUEENS CHAPEL RD APT 402
HYATTSVILLE, MD 20782-3637
Phone number:
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