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Individual
PAULETTE KR JACKSON
Active
Individual
PAULETTE KR JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1430003
OH
1041S0200X
School Social Worker
S.1430003
OH
Other
Enumeration date
08/11/2023
Last updated
10/14/2025
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