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1861643389
TRACEY ANN JACKSON
GREENWOOD, SC
NPI
1861643389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-10-02
Last Update Date
2008-10-02
Business Address
-- TRACEY ANN JACKSON LBSW
1547 PARKWAY STE 100
GREENWOOD, SC 29646-4081
Phone number: 864-229-7120
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Mailing Address
-- TRACEY ANN JACKSON LBSW
2413 CEDAR SPGS S
ABBEVILLE, SC 29620-6246
Phone number: 864-446-3407
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