SELENA JACKSON

NEWTON, KS
NPI1679096960
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: KS  2781)
Enumeration Date2017-07-19
Last Update Date2017-07-19
Business Address
SELENA JACKSON MS
1901 E 1ST ST
NEWTON, KS 67114-5010
Phone number: 316-284-6400
Mailing Address
SELENA JACKSON MS
2931 N GOVERNEOUR ST APT 306
WICHITA, KS 67226-1783
Phone number:
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