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1023541703
BRANDI G KING-JACKSON
DALLAS, OR
NPI
1023541703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2017-04-10
Last Update Date
2023-05-15
Business Address
BRANDI G KING-JACKSON
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-623-9289
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Mailing Address
BRANDI G KING-JACKSON
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-623-9289
Copy
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