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1376725291
DERRIKA LYONS JACKSON
LIVINGSTON, TX
NPI
1376725291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 62371)
Enumeration Date
2007-12-03
Last Update Date
2007-12-03
Business Address
Mrs. DERRIKA LYONS JACKSON LPC I
201 SKYVIEW DR
LIVINGSTON, TX 77351
Phone number: 936-327-5170
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Mailing Address
Mrs. DERRIKA LYONS JACKSON LPC I
201 SKYVIEW DR
LIVINGSTON, TX 77351
Phone number: 936-327-5170
Copy
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