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1104817303
GAIL E JACKSON
ALBUQUERQUE, NM
NPI
1104817303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM I-0090)
Enumeration Date
2005-11-04
Last Update Date
2007-07-09
Business Address
-- GAIL E JACKSON LISW
625 TRUMAN ST NE
ALBUQUERQUE, NM 87110-6443
Phone number: 505-272-6916
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Mailing Address
-- GAIL E JACKSON LISW
1108 CALLE DEL RANCHERO NE
ALBUQUERQUE, NM 87106-1906
Phone number: 505-256-4742
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