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1700248028
JACKSON PROFESSIONAL SERVICES
LOUISVILLE, KY
NPI
1700248028
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Entity Type
Organization
Authorized Contact
KRISTYN JACKSON
Lmft
859-475-3482
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: KY MFTMFT00220805)
Enumeration Date
2016-03-25
Last Update Date
2016-03-25
Business Address
JACKSON PROFESSIONAL SERVICES
1827 EASTERN PKWY
LOUISVILLE, KY 40204-1416
Phone number: 859-475-3482
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Mailing Address
JACKSON PROFESSIONAL SERVICES
1827 EASTERN PKWY
LOUISVILLE, KY 40204-1416
Phone number:
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