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1831313170
LATISHA JACKSON
FLORENCE, SC
NPI
1831313170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
-- LATISHA JACKSON
125 E CHEVES ST
FLORENCE, SC 29506-2526
Phone number: 843-317-4089
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Mailing Address
-- LATISHA JACKSON
125 E CHEVES ST
FLORENCE, SC 29506-2526
Phone number: 843-317-4089
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