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1609145184
MELISSA RENA JACKSON
MIDWEST CITY, OK
NPI
1609145184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-12-29
Last Update Date
2013-08-29
Business Address
Ms. MELISSA RENA JACKSON MHR, LPC
11541 VILLAGE AVE
MIDWEST CITY, OK 73130-8207
Phone number: 405-201-3646
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Mailing Address
Ms. MELISSA RENA JACKSON MHR, LPC
11541 VILLAGE AVE
MIDWEST CITY, OK 73130-8207
Phone number: 405-201-3646
Copy
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