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1700938438
SUSAN JACKSON
FLEMINGTON, NJ
NPI
1700938438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ 37LC00119600)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
-- SUSAN JACKSON MS, LCADC
2100 WESCOTT DR HBH 5TH FL
FLEMINGTON, NJ 08822-4603
Phone number: 908-788-6401
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Mailing Address
-- SUSAN JACKSON MS, LCADC
2100 WESCOTT DR HBH 5TH FL
FLEMINGTON, NJ 08822-4603
Phone number: 908-788-6401
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