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1902159080
CARLA YOLANDA JACKSON
ORLANDO, FL
NPI
1902159080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2012-10-26
Last Update Date
2012-10-26
Business Address
CARLA YOLANDA JACKSON MS
6108 CENTENNIAL DR
ORLANDO, FL 32808-1842
Phone number: 407-376-6694
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Mailing Address
CARLA YOLANDA JACKSON MS
6108 CENTENNIAL DR
ORLANDO, FL 32808-1842
Phone number: 407-376-6694
Copy
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