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1548278203
MARY ELLEN JACKS
HUDSON, WI
NPI
1548278203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: WI 617-124)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
MARY ELLEN JACKS M.S.
401 STAGELINE RD SUITE 7
HUDSON, WI 54016-7897
Phone number: 715-531-6760
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Mailing Address
MARY ELLEN JACKS M.S.
1196 QUINLAN AVE S
LAKELAND, MN 55043-9527
Phone number: 651-436-1606
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COUPLES & FAMILY THERAPY CENTER, LLC