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1255352969
ANGELA MARIA JACKSON
OGDEN, UT
NPI
1255352969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: UT 359140-6004)
Enumeration Date
2006-07-21
Last Update Date
2019-05-21
Business Address
ANGELA MARIA JACKSON LPC
3903 HARRISON BLVD STE 300
OGDEN, UT 84403-2362
Phone number: 801-387-5600
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Mailing Address
ANGELA MARIA JACKSON LPC
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-387-5600
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