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1124287594
GARRICK D JACKSON
KLAMATH FALLS, OR
NPI
1124287594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: OR A2147)
Enumeration Date
2008-06-02
Last Update Date
2012-02-16
Business Address
-- GARRICK D JACKSON LCSW
2545 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6423
Phone number: 541-883-3471
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Mailing Address
-- GARRICK D JACKSON LCSW
2545 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6423
Phone number: 541-883-3471
Copy
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