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1982088951
EDWINA JACKSON
COLUMBIA, SC
NPI
1982088951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: SC 9381)
Enumeration Date
2015-07-19
Last Update Date
2015-07-19
Business Address
-- EDWINA JACKSON
813 KINLOCK CT
COLUMBIA, SC 29223-6816
Phone number: 803-629-4578
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Mailing Address
-- EDWINA JACKSON
813 KINLOCK CT
COLUMBIA, SC 29223-6816
Phone number:
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