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1518144369
ANISE JACKSON
BIRMINGHAM, AL
NPI
1518144369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AL 2782)
Enumeration Date
2008-01-23
Last Update Date
2010-09-10
Business Address
-- ANISE JACKSON LPC
1600 20TH ST S SUITE D
BIRMINGHAM, AL 35205-4998
Phone number: 205-447-2961
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Mailing Address
-- ANISE JACKSON LPC
1600 20TH ST S SUITE D
BIRMINGHAM, AL 35205-4998
Phone number: 205-447-2961
Copy
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