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1821308404
DONNA DANETTE JACKSON
FAYETTEVILLE, NC
NPI
1821308404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NC C006871)
Enumeration Date
2010-10-15
Last Update Date
2014-07-29
Business Address
DONNA DANETTE JACKSON LCSW
7534 SELWYN COURT
FAYETTEVILLE, NC 28303-2333
Phone number: 910-286-3084
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Mailing Address
DONNA DANETTE JACKSON LCSW
7534 SELWYN COURT
FAYETTEVILLE, NC 28303-2333
Phone number: 910-286-3084
Copy
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