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1790107076
ALICISIA CLARISSA JACKSON
LAS VEGAS, NV
NPI
1790107076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2014-01-06
Last Update Date
2014-01-06
Business Address
Miss ALICISIA CLARISSA JACKSON
1941 NAPOLEON DR
LAS VEGAS, NV 89156-7187
Phone number: 702-438-8452
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Mailing Address
Miss ALICISIA CLARISSA JACKSON
1941 NAPOLEON DR
LAS VEGAS, NV 89156-7187
Phone number: 702-438-8452
Copy
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