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1801816244
ALEXANDER ENACIO JACKSON
OAKLAND, CA
NPI
1801816244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS19196)
Enumeration Date
2006-07-20
Last Update Date
2009-04-28
Business Address
Mr. ALEXANDER ENACIO JACKSON LCSW
7200 BANCROFT AVE SUITE 125-D, ALAMEDA COUNTY BHCS
OAKLAND, CA 94605-2403
Phone number: 510-777-3877
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Mailing Address
Mr. ALEXANDER ENACIO JACKSON LCSW
3701 PARK BOULEVARD WAY
OAKLAND, CA 94610-2837
Phone number: 510-530-0767
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