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1114052818
TENIKA LOUISE JACKSON
LOS ANGELES, CA
NPI
1114052818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY22468)
Enumeration Date
2007-02-22
Last Update Date
2015-08-20
Business Address
Dr. TENIKA LOUISE JACKSON Psy.D.
8220 S SAN PEDRO ST
LOS ANGELES, CA 90003-3030
Phone number: 323-565-2300
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Mailing Address
Dr. TENIKA LOUISE JACKSON Psy.D.
3651 S LABREA AVE SUITE 699
LOS ANGELES, CA 90016-5300
Phone number: 213-944-2200
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