TAMARA T JACKSON

GRAND RAPIDS, MI
NPI1164061073
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-12-26
Last Update Date2019-12-26
Business Address
TAMARA T JACKSON
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4304
Phone number: 616-456-1443
Mailing Address
TAMARA T JACKSON
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4304
Phone number:
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