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1356825954
BEATRICE JACKSON
MILWAUKEE, WI
NPI
1356825954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15667-131)
Enumeration Date
2018-09-19
Last Update Date
2018-09-19
Business Address
BEATRICE JACKSON SUD Counselor SAC
4800 S 10TH ST
MILWAUKEE, WI 53221-2412
Phone number: 414-744-5370
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Mailing Address
BEATRICE JACKSON SUD Counselor SAC
4800 S 10TH ST
MILWAUKEE, WI 53221-2412
Phone number: 414-744-5370
Copy
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