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MS. CASSONDRA JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APC

Contact information

Practice address
1076 HAWTHORN LN, GRAYSON, GA 30017-4208
(678) 492-9332
Mailing address
1076 HAWTHORN LN, GRAYSON, GA 30017-4208
(678) 492-9332

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC004749
GA

Other

Enumeration date
03/16/2015
Last updated
03/16/2015
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