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1629402995
SUSAN JACKSON
PHILADELPHIA, PA
NPI
1629402995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2013-08-22
Last Update Date
2013-08-22
Business Address
-- SUSAN JACKSON
4510 FRANKFORD AVE 2ND FLOOR
PHILADELPHIA, PA 19124-3602
Phone number: 215-744-1302
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Mailing Address
-- SUSAN JACKSON
432 N 6TH ST
PHILADELPHIA, PA 19123-4004
Phone number: 215-925-2400
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