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1871772517
JENNIFER DAVIS JACKSON
CHARLOTTE, NC
NPI
1871772517
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Former Name
JENNIFER ANN DAVIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-30
Last Update Date
2022-07-21
Business Address
JENNIFER DAVIS JACKSON LCAS
429 BILLINGSLEY RD
CHARLOTTE, NC 28211
Phone number: 704-445-6900
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Mailing Address
JENNIFER DAVIS JACKSON LCAS
429 BILLINGSLEY RD
CHARLOTTE, NC 28211-1007
Phone number: 704-445-6900
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