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1245340579
ROBERT JACKSON
HAZARD, KY
NPI
1245340579
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KY 0442)
Enumeration Date
2006-08-30
Last Update Date
2010-11-22
Business Address
Mr. ROBERT JACKSON
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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Mailing Address
Mr. ROBERT JACKSON
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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