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1922626191
MARY P JACKSON
WINSTON SALEM, NC
NPI
1922626191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P014930)
Enumeration Date
2020-07-13
Last Update Date
2020-10-02
Business Address
MARY P JACKSON LCSWA
4035 UNIVERSITY PKWY STE 101
WINSTON SALEM, NC 27106-3275
Phone number: 336-663-2751
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Mailing Address
MARY P JACKSON LCSWA
2648 RANDELMAN RD
GREENSBORO, NC 27406-5108
Phone number: 336-587-8513
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