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1669506218
MELODY V JACKSON
WASHINGTON, DC
NPI
1669506218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: DC M617-2006)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
-- MELODY V JACKSON PhD
35 K ST NE
WASHINGTON, DC 20002-4216
Phone number: 202-442-4108
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Mailing Address
-- MELODY V JACKSON PhD
15101 INTERLACHEN DR
SILVER SPRING, MD 20906-5601
Phone number:
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