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1326265133
PATRICIA JACKSON
DETROIT, MI
NPI
1326265133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
Miss PATRICIA JACKSON MSW
11457 SHOEMAKER ST
DETROIT, MI 48213-3418
Phone number: 313-331-3435
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Mailing Address
Miss PATRICIA JACKSON MSW
11457 SHOEMAKER ST
DETROIT, MI 48213-3418
Phone number: 313-331-3435
Copy
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