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1851907364
CLARISSA JACKSON
CHARLOTTE, NC
NPI
1851907364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-09-20
Last Update Date
2020-09-20
Business Address
CLARISSA JACKSON
10140 HAWKEYE DR
CHARLOTTE, NC 28273-4536
Phone number: 704-458-8110
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Mailing Address
CLARISSA JACKSON
10140 HAWKEYE DR
CHARLOTTE, NC 28273-4536
Phone number: 704-458-8110
Copy
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