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1629195466
ALICIA ALEXANDER JACKSON
LUMBERTON, NC
NPI
1629195466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-26
Last Update Date
2016-05-25
Business Address
-- ALICIA ALEXANDER JACKSON LCAS
2003 GODWIN AVE
LUMBERTON, NC 28358-3149
Phone number: 910-671-1111
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Mailing Address
-- ALICIA ALEXANDER JACKSON LCAS
570 POPE LAKE RD PO BOX 473
ANGIER, NC 27501-5877
Phone number: 910-671-1111
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