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1245624535
DEBORAH JACKSON
DREXEL HILL, PA
NPI
1245624535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-03-24
Last Update Date
2015-03-24
Business Address
-- DEBORAH JACKSON
401 PILGRIM LN
DREXEL HILL, PA 19026-5000
Phone number: 484-476-6543
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Mailing Address
-- DEBORAH JACKSON
401 PILGRIM LN
DREXEL HILL, PA 19026-5000
Phone number: 484-476-6543
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