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1669703450
CATHLEEN JACKSON
ROCHESTER, NY
NPI
1669703450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 16639)
Enumeration Date
2010-01-19
Last Update Date
2011-09-16
Business Address
-- CATHLEEN JACKSON CASAC,ICADC
490 E RIDGE RD
ROCHESTER, NY 14621-1229
Phone number: 585-922-2588
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Mailing Address
-- CATHLEEN JACKSON CASAC,ICADC
4557 LINCOLN RD
MACEDON, NY 14502-9314
Phone number:
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