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1548758972
SARA MICHELLE JACKSON
LAKEWOOD, WA
NPI
1548758972
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Former Name
SARA MICHELLE FITCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-05-01
Last Update Date
2018-05-01
Business Address
Mrs. SARA MICHELLE JACKSON
6210 75TH ST W STE B100
LAKEWOOD, WA 98499-8109
Phone number: 253-345-5724
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Mailing Address
Mrs. SARA MICHELLE JACKSON
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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