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1780167437
SHENELLE JACKSON
OAKLAND, CA
NPI
1780167437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2018-09-10
Last Update Date
2022-05-04
Business Address
Ms. SHENELLE JACKSON MSW, LCSW
3301 E 12TH ST
OAKLAND, CA 94601-3424
Phone number: 510-269-9030
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Mailing Address
Ms. SHENELLE JACKSON MSW, LCSW
4142 E MORADA LANE 2202
STOCKTON, CA 95212
Phone number: 240-338-0507
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