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1942620547
CONSTANCE JACKSON
ALBANY, GA
NPI
1942620547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC007780)
Enumeration Date
2014-04-22
Last Update Date
2014-04-22
Business Address
-- CONSTANCE JACKSON LPC
601 11TH AVE
ALBANY, GA 31701-1645
Phone number: 229-430-4140
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Mailing Address
-- CONSTANCE JACKSON LPC
PO BOX 1988
ALBANY, GA 31702-1988
Phone number: 229-430-4002
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