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1255700571
JUDY JACKSON
BROOKHAVEN, GA
NPI
1255700571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC007193)
Enumeration Date
2015-09-16
Last Update Date
2015-09-16
Business Address
-- JUDY JACKSON
2801 BUFORD HWY NE SUITE T30
BROOKHAVEN, GA 30329-2149
Phone number: 678-856-5031
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Mailing Address
-- JUDY JACKSON
2801 BUFORD HWY NE SUITE T30
BROOKHAVEN, GA 30329-2149
Phone number: 678-856-5031
Copy
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