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1811765274
SEAN JACKSON
LAWRENCEVILLE, NJ
NPI
1811765274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 37AC00630800)
Enumeration Date
2023-12-15
Last Update Date
2023-12-15
Business Address
SEAN JACKSON MA, LAC
22 GORDON AVE
LAWRENCEVILLE, NJ 08648-1033
Phone number: 609-844-0452
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Mailing Address
SEAN JACKSON MA, LAC
PO BOX 6573
LAWRENCEVILLE, NJ 08648-0573
Phone number:
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