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1023130176
TEDRA NIKIA JACKSON
DALLAS, TX
NPI
1023130176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
-- TEDRA NIKIA JACKSON
3330 S LANCASTER RD
DALLAS, TX 75216-4531
Phone number: 214-371-6639
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Mailing Address
-- TEDRA NIKIA JACKSON
3330 S LANCASTER RD
DALLAS, TX 75216-4531
Phone number: 214-371-6639
Copy
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