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1225690043
CARRIE JACKSON
LA JOLLA, CA
NPI
1225690043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: CA 32824)
Enumeration Date
2019-07-01
Last Update Date
2023-07-12
Business Address
CARRIE JACKSON
3252 HOLIDAY CT STE 107
LA JOLLA, CA 92037-1807
Phone number: 803-206-1550
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Mailing Address
CARRIE JACKSON
3252 HOLIDAY CT STE 107
LA JOLLA, CA 92037-1807
Phone number: 803-206-1550
Copy
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