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1942485768
SUSAN JOAN JACKY
MARTINEZ, CA
NPI
1942485768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW18882)
Enumeration Date
2007-12-31
Last Update Date
2007-12-31
Business Address
-- SUSAN JOAN JACKY ACSW
150 MUIR RD 11C-3
MARTINEZ, CA 94553-4668
Phone number: 925-372-2156
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Mailing Address
-- SUSAN JOAN JACKY ACSW
150 MUIR RD 11C-3
MARTINEZ, CA 94553-4668
Phone number: 925-372-2156
Copy
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