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1144337353
LLOYD DALLAS JACKSON
LEXINGTON, KY
NPI
1144337353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KY 1878)
Enumeration Date
2006-08-24
Last Update Date
2008-03-17
Business Address
Mr. LLOYD DALLAS JACKSON L.C.S.W.
1018 E NEW CIRCLE RD
LEXINGTON, KY 40505-4145
Phone number: 859-893-0146
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Mailing Address
Mr. LLOYD DALLAS JACKSON L.C.S.W.
2455 BARNES MILL RD
RICHMOND, KY 40475-9747
Phone number: 859-684-5669
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