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1205163946
JANET LEE JACKSON
SOUTH PASADENA, CA
NPI
1205163946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 22265)
Enumeration Date
2009-11-16
Last Update Date
2009-11-16
Business Address
-- JANET LEE JACKSON MA, MFT
505 EL CENTRO ST
SOUTH PASADENA, CA 91030-3010
Phone number: 626-792-5976
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Mailing Address
-- JANET LEE JACKSON MA, MFT
505 EL CENTRO ST
SOUTH PASADENA, CA 91030-3010
Phone number: 626-792-5976
Copy
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