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1811204936
CRYSTAL I JACKSON
WALDORF, MD
NPI
1811204936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MD G13167)
Enumeration Date
2010-09-10
Last Update Date
2010-09-10
Business Address
Ms. CRYSTAL I JACKSON LGSW-G
80 INDUSTRIAL PARK DR SUITE 2B
WALDORF, MD 20602-2760
Phone number: 202-716-4104
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Mailing Address
Ms. CRYSTAL I JACKSON LGSW-G
80 INDUSTRIAL PARK DR SUITE 2B
WALDORF, MD 20602-2760
Phone number: 202-716-4104
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