DENIS IAN JACKSON

WAUWATOSA, WI
NPI1013000561
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: WI  1965)
Enumeration Date2006-10-02
Last Update Date2008-11-12
Business Address
DR. DENIS IAN JACKSON PH.D.
11931 W BLUEMOUND RD
WAUWATOSA, WI 53226-3905
Phone number: 414-276-8669
Mailing Address
DR. DENIS IAN JACKSON PH.D.
11931 W BLUEMOUND RD
WAUWATOSA, WI 53226-3905
Phone number: 414-276-8669
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