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1881233534
LISA ANN JACKSON
TALLAHASSEE, FL
NPI
1881233534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
1041S0200X Social Worker, School
Enumeration Date
2019-12-29
Last Update Date
2019-12-29
Business Address
LISA ANN JACKSON LCSW
2834 REMINGTON GREEN CIR STE 104
TALLAHASSEE, FL 32308-3760
Phone number: 850-296-6811
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Mailing Address
LISA ANN JACKSON LCSW
1705 COPPERFIELD CIR
TALLAHASSEE, FL 32312-3755
Phone number: 850-296-6811
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