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1750856522
REISHA JACK
MEMPHIS, TN
NPI
1750856522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TN 4412)
Enumeration Date
2018-10-09
Last Update Date
2018-10-09
Business Address
REISHA JACK LPC
1037 CRESTHAVEN RD
MEMPHIS, TN 38119-3833
Phone number: 901-682-6136
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Mailing Address
REISHA JACK LPC
2231 OAK HOLLOW LN
CORDOVA, TN 38016-5206
Phone number: 901-239-4411
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