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1417074675
JOANNE KELLY JACKSON
HILLSBORO, OR
NPI
1417074675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-23
Last Update Date
2008-03-07
Business Address
-- JOANNE KELLY JACKSON B.A,B.A.,CADC 1
205 SE 3RD AVE
HILLSBORO, OR 97123-4093
Phone number: 503-693-3104
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Mailing Address
-- JOANNE KELLY JACKSON B.A,B.A.,CADC 1
205 SE 3RD AVE
HILLSBORO, OR 97123-4093
Phone number:
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