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1639372089
ALYCE JACKSON
PHILADELPHIA, PA
NPI
1639372089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: PA PS-006130-L)
Enumeration Date
2007-06-05
Last Update Date
2007-07-08
Business Address
DR. ALYCE JACKSON PH.D.
1616 WALNUT ST SUITE 910
PHILADELPHIA, PA 19103-5313
Phone number: 215-922-2826
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Mailing Address
DR. ALYCE JACKSON PH.D.
922 PINE ST 2-R
PHILADELPHIA, PA 19107-6100
Phone number: 215-922-2826
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