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1851160253
MELISSA M JACKSON
GULFPORT, MS
NPI
1851160253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C10824)
Enumeration Date
2023-12-27
Last Update Date
2025-01-10
Business Address
MELISSA M JACKSON LCSW
2715 BULLIS AVE
GULFPORT, MS 39501-5233
Phone number: 228-697-3953
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Mailing Address
MELISSA M JACKSON LCSW
2715 BULLIS AVE
GULFPORT, MS 39501-5233
Phone number: 228-697-3953
Copy
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