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1700560364
TRACI LYNN JACKSON
TWIN FALLS, ID
NPI
1700560364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: ID LPC-8970)
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
MS. TRACI LYNN JACKSON LPC
826 EASTLAND DR
TWIN FALLS, ID 83301-6858
Phone number: 208-732-7447
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Mailing Address
MS. TRACI LYNN JACKSON LPC
826 EASTLAND DR
TWIN FALLS, ID 83301-6858
Phone number: 208-732-7447
Copy
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