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1437534088
LARA JACKSON
NASHVILLE, TN
NPI
1437534088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: TN 3264)
Enumeration Date
2015-07-24
Last Update Date
2015-07-24
Business Address
LARA JACKSON
1010 4TH AVE N
NASHVILLE, TN 37219-1110
Phone number: 615-417-3799
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Mailing Address
LARA JACKSON
1010 4TH AVE N
NASHVILLE, TN 37219-1110
Phone number: 615-417-3799
Copy
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