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1316017940
DAVID ISAAC JACKSON
TRENTON, NJ
NPI
1316017940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
MR. DAVID ISAAC JACKSON M.S.ED.
946 EDGEWOOD AVE
TRENTON, NJ 08618-5304
Phone number: 609-393-1626
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Mailing Address
MR. DAVID ISAAC JACKSON M.S.ED.
9216 TAMARRON DR
PLAINSBORO, NJ 08536-4332
Phone number: 609-203-8580
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