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1952725061
LORENA JACKSON
LOS ANGELES, CA
NPI
1952725061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 107628)
Enumeration Date
2014-02-10
Last Update Date
2024-06-13
Business Address
LORENA JACKSON
433 N HOOVER ST
LOS ANGELES, CA 90004-2306
Phone number: 323-644-2000
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Mailing Address
LORENA JACKSON
PO BOX 4852
CULVER CITY, CA 90231-4852
Phone number:
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