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1548654353
LUCY JACKSON
MADISON, WI
NPI
1548654353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 127496-121)
Enumeration Date
2015-03-19
Last Update Date
2016-09-07
Business Address
-- LUCY JACKSON M.S.W.
1320 MENDOTA ST STE 120
MADISON, WI 53714-1060
Phone number: 608-280-2700
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Mailing Address
-- LUCY JACKSON M.S.W.
25 KESSEL CT STE 105
MADISON, WI 53711-6227
Phone number: 608-280-2700
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