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1851315766
CHARLES W JACKSON
CONWAY, SC
NPI
1851315766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: SC 182)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
Dr. CHARLES W JACKSON Ph.D.
210 UNIVERSITY PLAZA DR
CONWAY, SC 29526-8978
Phone number: 843-347-2550
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Mailing Address
Dr. CHARLES W JACKSON Ph.D.
5315 N KINGS HWY PMB 120
MYRTLE BEACH, SC 29577-2534
Phone number: 843-503-2000
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