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1891970695
JACQUELYN THOMPSON
RIVERDALE, GA
NPI
1891970695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-12-31
Last Update Date
2007-12-31
Business Address
JACQUELYN THOMPSON
1256 HIGHWAY 138 SW
RIVERDALE, GA 30296-1402
Phone number: 770-994-2223
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Mailing Address
JACQUELYN THOMPSON
1256 HIGHWAY 138 SW
RIVERDALE, GA 30296-1402
Phone number: 770-994-2223
Copy
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