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1164817599
JULIE JACKSON
MESA, AZ
NPI
1164817599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: AZ LMSW-14007)
Enumeration Date
2015-04-02
Last Update Date
2015-04-02
Business Address
-- JULIE JACKSON
6915 E MAIN ST
MESA, AZ 85207-8229
Phone number: 602-806-2814
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Mailing Address
-- JULIE JACKSON
202 E. EARLL DR. SUITE 200
PHOENIX, AZ 85012-2647
Phone number: 602-808-2800
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