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1417634916
DOMINIQUE JACKSON-COY
CENTENNIAL, CO
NPI
1417634916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO LSW.0009924274)
Enumeration Date
2023-06-28
Last Update Date
2023-06-28
Business Address
DOMINIQUE JACKSON-COY LSW
7340 E CALEY AVE STE 220
CENTENNIAL, CO 80111-6709
Phone number: 719-432-6322
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Mailing Address
DOMINIQUE JACKSON-COY LSW
8155 E FAIRMOUNT DR UNIT 2022
DENVER, CO 80230-6838
Phone number: 719-432-6322
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