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1275960189
THEODORA JACKSON
WASHINGTON, DC
NPI
1275960189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist School
(Licence: DC CERTIFIED)
Enumeration Date
2013-10-09
Last Update Date
2013-10-09
Business Address
MS. THEODORA JACKSON
540 55TH STREET, N.E.
WASHINGTON, DC 20019
Phone number: 202-939-2030
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Mailing Address
MS. THEODORA JACKSON
540 55TH STREET, N.E.
WASHINGTON, DC 20019
Phone number: 202-939-2030
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