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1841315975
KIMBERLY LYNN JACKSON
PROVIDENCE, RI
NPI
1841315975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW01815)
Enumeration Date
2007-03-20
Last Update Date
2022-08-02
Business Address
KIMBERLY LYNN JACKSON LCSW
1570 WESTMINSTER ST
PROVIDENCE, RI 02909
Phone number: 215-607-8480
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Mailing Address
KIMBERLY LYNN JACKSON LCSW
1500 CHESTNUT ST. SUITE 2 #1497
PHILADELPHIA, PA 19102
Phone number: 401-575-0177
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