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1265294011
PAUL D JACKSON
PHOENIX, AZ
NPI
1265294011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ 22022)
Enumeration Date
2024-01-26
Last Update Date
2024-01-26
Business Address
PAUL D JACKSON LCSW
4909 E MCDOWELL RD
PHOENIX, AZ 85008-4227
Phone number: 602-685-6000
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Mailing Address
PAUL D JACKSON LCSW
3003 N CENTRAL AVE STE 400
PHOENIX, AZ 85012-2929
Phone number: 602-685-6000
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