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1407161599
VICKIE LEE JACKSON
MILWAUKEE, WI
NPI
1407161599
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Professional Name
VICKIE L JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 564-226)
Enumeration Date
2010-08-12
Last Update Date
2010-08-12
Business Address
Ms. VICKIE LEE JACKSON
7809 W BECKETT AVE
MILWAUKEE, WI 53218-5320
Phone number: 414-535-9892
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Mailing Address
Ms. VICKIE LEE JACKSON
7809 W BECKETT AVE
MILWAUKEE, WI 53218-5320
Phone number: 414-535-9892
Copy
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