EMILY BROCKETT JACKSON

DECATUR, GA
NPI1003126962
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC1900X Psychologist, Counseling
(Licence: GA  PSY003380)
Enumeration Date2010-10-13
Last Update Date2010-10-13
Business Address
Dr. EMILY BROCKETT JACKSON PhD
1670 CLAIRMONT ROAD ATLANTA VA MEDICAL CENTER
DECATUR, GA 30033
Phone number: 404-429-0419
Mailing Address
Dr. EMILY BROCKETT JACKSON PhD
15 CARDINAL CT
STOCKBRIDGE, GA 30281-1785
Phone number: 404-429-0419
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