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1285098798
NATACHA JACKSON
BRIDGEPORT, CT
NPI
1285098798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 001179)
Enumeration Date
2016-04-11
Last Update Date
2016-04-11
Business Address
-- NATACHA JACKSON
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604-4252
Phone number: 203-394-6529
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Mailing Address
-- NATACHA JACKSON
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604-4252
Phone number: 203-394-6529
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