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1982262549
LETETA JACKSON
AUGUSTA, GA
NPI
1982262549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: GA MSW006179)
Enumeration Date
2019-05-30
Last Update Date
2019-05-30
Business Address
LETETA JACKSON LMSW
1 FREEDOM WAY
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
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Mailing Address
LETETA JACKSON LMSW
411 YORK LN
AUGUSTA, GA 30909-6089
Phone number: 706-825-3932
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