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1831409374
ANNIE JACKSON
CHARLOTTE, NC
NPI
1831409374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: NC 412)
Additional Taxonomies
101YP1600X Counselor, Pastoral
Enumeration Date
2010-10-18
Last Update Date
2010-10-18
Business Address
-- ANNIE JACKSON
4616 NORTHAVEN DR
CHARLOTTE, NC 28206-1730
Phone number: 704-597-8370
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Mailing Address
-- ANNIE JACKSON
4616 NORTHAVEN DR
CHARLOTTE, NC 28206-1730
Phone number:
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