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1851064133
DANIELLE LINDA JACKSON
SAN DIEGO, CA
NPI
1851064133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 88598)
Enumeration Date
2021-07-31
Last Update Date
2021-07-31
Business Address
DANIELLE LINDA JACKSON LCSW
591 CAMINO DE LA REINA STE 210
SAN DIEGO, CA 92108-3104
Phone number: 619-206-5271
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Mailing Address
DANIELLE LINDA JACKSON LCSW
407 E SAINT THOMAS MOORE WAY
SPOKANE, WA 99208-5721
Phone number:
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