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1891383006
ALISSA NICOLE JACKSON
COLUMBUS, OH
NPI
1891383006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I0900346)
Enumeration Date
2021-01-04
Last Update Date
2021-01-04
Business Address
ALISSA NICOLE JACKSON LISW-S
929 HARRISON AVE STE 304
COLUMBUS, OH 43215-1346
Phone number: 614-940-4868
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Mailing Address
ALISSA NICOLE JACKSON LISW-S
5101 CORNICE CT
GALENA, OH 43021-9076
Phone number: 614-403-1476
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