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1851423206
GEORGIA ANN JACKSON-THOMPSON
FONTANA, CA
NPI
1851423206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 40585)
Enumeration Date
2007-03-12
Last Update Date
2007-07-09
Business Address
Ms. GEORGIA ANN JACKSON-THOMPSON MA
16090 JACKSON DRVIE
FONTANA, CA 92336
Phone number: 909-429-1216
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Mailing Address
Ms. GEORGIA ANN JACKSON-THOMPSON MA
9626 AVALON BLVD
LOS ANGELES, CA 90003-4311
Phone number: 323-779-0729
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