TAKIRA C. JACKSON

PHOENIX, AZ
NPI1720709140
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: AZ  LAC-21216)
Enumeration Date2022-09-05
Last Update Date2022-09-05
Business Address
Miss TAKIRA C. JACKSON LAC
14413 S 47TH PL
PHOENIX, AZ 85044-6215
Phone number: 716-400-2465
Mailing Address
Miss TAKIRA C. JACKSON LAC
14413 S 47TH PL
PHOENIX, AZ 85044-6215
Phone number: 716-400-2465
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