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1023796729
PORSHA JACKSON
DECATUR, AL
NPI
1023796729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-07-11
Last Update Date
2023-07-11
Business Address
PORSHA JACKSON ALC
1315 13TH AVE SE
DECATUR, AL 35601-4360
Phone number: 256-260-7306
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Mailing Address
PORSHA JACKSON ALC
1316 SOMERVILLE RD SE STE 1
DECATUR, AL 35601-4309
Phone number: 256-260-7361
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