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1366078800
ELIZABETH JACKSON
LANSING, MI
NPI
1366078800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-03-17
Last Update Date
2020-03-17
Business Address
ELIZABETH JACKSON
4902 S CEDAR ST
LANSING, MI 48910-5474
Phone number: 517-394-7867
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Mailing Address
ELIZABETH JACKSON
4902 S CEDAR ST
LANSING, MI 48910-5474
Phone number:
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