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1598918328
JACQUELINE KAY JACKSON
DALLAS, TX
NPI
1598918328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 5461)
Enumeration Date
2008-10-24
Last Update Date
2008-10-24
Business Address
-- JACQUELINE KAY JACKSON LCDC
201 SOUTH TYLER
DALLAS, TX 75208
Phone number: 214-942-5166
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Mailing Address
-- JACQUELINE KAY JACKSON LCDC
201 SOUTH TYLER
DALLAS, TX 75208
Phone number: 214-942-5166
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