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1295125771
JACKIE WHITE
PHENIX CITY, AL
NPI
1295125771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: AL 3047)
Enumeration Date
2015-02-04
Last Update Date
2015-02-04
Business Address
JACKIE WHITE LPC
3170 MARTIN LUTHER KING JR PKWY S
PHENIX CITY, AL 36869-8405
Phone number: 334-298-2405
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Mailing Address
JACKIE WHITE LPC
3170 MARTIN LUTHER KING JR PKWY S
PHENIX CITY, AL 36869-8405
Phone number: 334-298-2405
Copy
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