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1144608977
MARISHA JACKSON
NASHVILLE, TN
NPI
1144608977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-05-13
Last Update Date
2015-05-13
Business Address
-- MARISHA JACKSON
1261 KENMORE PL
NASHVILLE, TN 37216-3214
Phone number: 615-801-3495
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Mailing Address
-- MARISHA JACKSON
1261 KENMORE PL
NASHVILLE, TN 37216-3214
Phone number: 615-801-3495
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