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1427392505
DOROTHY OCTAVIA JACKSON
HOUSTON, TX
NPI
1427392505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: KS 2074)
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
Dr. DOROTHY OCTAVIA JACKSON Ph.D.
2002 HOLCOMBE BLVD MHCL 116
HOUSTON, TX 77030-4211
Phone number: 713-791-1414
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Mailing Address
Dr. DOROTHY OCTAVIA JACKSON Ph.D.
2002 HOLCOMBE BLVD MHCL 116
HOUSTON, TX 77030-4211
Phone number: 713-791-1414
Copy
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