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1689913147
ALICIA JACKSON
DETROIT, MI
NPI
1689913147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401011272)
Enumeration Date
2013-02-04
Last Update Date
2017-01-31
Business Address
Ms. ALICIA JACKSON LPC
79 W ALEXANDRINE
DETROIT, MI 48201-2015
Phone number: 313-831-5535
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Mailing Address
Ms. ALICIA JACKSON LPC
79 W ALEXANDRINE
DETROIT, MI 48201-2015
Phone number: 313-550-2502
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