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1619523982
SUZANNE MARIE JACKSON
LOS ALAMITOS, CA
NPI
1619523982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-08-13
Last Update Date
2019-08-13
Business Address
SUZANNE MARIE JACKSON
4388 KATELLA AVE
LOS ALAMITOS, CA 90720-3565
Phone number: 562-596-0050
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Mailing Address
SUZANNE MARIE JACKSON
4388 KATELLA AVE
LOS ALAMITOS, CA 90720-3565
Phone number: 562-596-0050
Copy
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