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Individual
JAMIE JARELL JACKSON
Active
Individual
JAMIE JARELL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORKER
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103968
CA
171M00000X
Case Manager/Care Coordinator
—
CA
225400000X
Rehabilitation Practitioner
Primary
103968
CA
Other
Enumeration date
04/06/2017
Last updated
04/23/2026
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