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1629707724
RUSSELL BERNARD JACKSON
EVERETT, WA
NPI
1629707724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG61323219)
Enumeration Date
2022-06-06
Last Update Date
2022-06-08
Business Address
RUSSELL BERNARD JACKSON MSW, CLINICIAN 2
4526 FEDERAL AVE
EVERETT, WA 98203-2132
Phone number: 425-349-6200
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Mailing Address
RUSSELL BERNARD JACKSON MSW, CLINICIAN 2
4526 FEDERAL AVE
EVERETT, WA 98203-2132
Phone number: 425-349-6200
Copy
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