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1104100775
JUDITH ANN JACKSON
SANTA CRUZ, CA
NPI
1104100775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-09-30
Last Update Date
2012-11-01
Business Address
-- JUDITH ANN JACKSON
1400 EMELINE AVE
SANTA CRUZ, CA 95060-1976
Phone number: 831-454-4971
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Mailing Address
-- JUDITH ANN JACKSON
1400 EMELINE AVE
SANTA CRUZ, CA 95060-1976
Phone number:
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