MARTHA SUE JACKSON

CHARLESTON, WV
NPI1386862605
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: WV  2003-1320)
Enumeration Date2007-04-23
Last Update Date2007-07-08
Business Address
-- MARTHA SUE JACKSON L.M.T.
888 OAKWOOD RD SUITE 220
CHARLESTON, WV 25314-2000
Phone number: 304-550-9724
Mailing Address
-- MARTHA SUE JACKSON L.M.T.
PO BOX 362
CLENDENIN, WV 25045-0362
Phone number: 304-548-4441
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