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Individual

SADOC AKIM JACKSON SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1135 5TH ST N, CORDELE, GA 31015
(229) 942-1469
Mailing address
1335 N 5TH STREET EXT, CORDELE, GA 31015-3753
(229) 276-2367

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/14/2023
Last updated
03/14/2023
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