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1033602917
SHARON JACKSON
SPOKANE, WA
NPI
1033602917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60956363)
Enumeration Date
2018-06-14
Last Update Date
2020-01-27
Business Address
SHARON JACKSON SUDP
2308 W 3RD AVE
SPOKANE, WA 99201-5810
Phone number: 509-624-1244
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Mailing Address
SHARON JACKSON SUDP
PO BOX 4627
SPOKANE, WA 99220-0627
Phone number:
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