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1730481862
KAREN GAYLE JACKSON
FORT WORTH, TX
NPI
1730481862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 9137)
Enumeration Date
2010-11-22
Last Update Date
2010-11-22
Business Address
Mrs. KAREN GAYLE JACKSON LCDC
605 E BERRY ST STE 109
FORT WORTH, TX 76110-4300
Phone number: 817-927-5441
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Mailing Address
Mrs. KAREN GAYLE JACKSON LCDC
605 E BERRY ST STE 109
FORT WORTH, TX 76110-4300
Phone number: 817-927-5441
Copy
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