JOANN MICHELLE JACKSON

SOUTH BEND, IN
NPI1194739904
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: IN  20040982A)
Enumeration Date2006-07-28
Last Update Date2010-09-27
Business Address
-- JOANN MICHELLE JACKSON Psy.D.
403 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-533-1234
Mailing Address
-- JOANN MICHELLE JACKSON Psy.D.
330 LAKEVIEW DR
GOSHEN, IN 46528-9365
Phone number: 574-533-1234
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