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1427128867
ERIK R JACKSON
SEATTLE, WA
NPI
1427128867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WA PY00003518)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
Dr. ERIK R JACKSON Ph.D.
818 12TH AVE
SEATTLE, WA 98122-4410
Phone number: 206-329-5255
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Mailing Address
Dr. ERIK R JACKSON Ph.D.
1421 15TH AVE APT 204
SEATTLE, WA 98122-4169
Phone number: 206-329-5255
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