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1144680018
DEBORAH JACKSON
MONTICELLO, NY
NPI
1144680018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-03-04
Last Update Date
2016-03-04
Business Address
Ms. DEBORAH JACKSON
17 HAMILTON AVENUE
MONTICELLO, NY 12701
Phone number: 845-794-8080
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Mailing Address
Ms. DEBORAH JACKSON
17 HAMILTON AVENUE
MONTICELLO, NY 12701
Phone number: 845-794-8080
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