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1164956058
LATESIA JACKSON
WESTAMPTON, NJ
NPI
1164956058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-04-18
Last Update Date
2017-04-18
Business Address
-- LATESIA JACKSON
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number: 609-267-5928
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Mailing Address
-- LATESIA JACKSON
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number: 609-267-5928
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