DANITA A JACKSON

WAUWATOSA, WI
NPI1356774723
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WI  1854-226)
Enumeration Date2013-08-20
Last Update Date2014-03-22
Business Address
-- DANITA A JACKSON LPC-IT
10045 W LISBON AVE
WAUWATOSA, WI 53222-2446
Phone number: 414-358-7999
Mailing Address
-- DANITA A JACKSON LPC-IT
10045 W LISBON AVE
WAUWATOSA, WI 53222-2446
Phone number: 414-358-7999
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