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1821307547
DAVAUGHN Y JACKSON
SAINT LOUIS, MO
NPI
1821307547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2009022179)
Enumeration Date
2010-09-29
Last Update Date
2010-09-29
Business Address
-- DAVAUGHN Y JACKSON LPC
3800 S BROADWAY
SAINT LOUIS, MO 63118-4608
Phone number: 314-772-2205
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Mailing Address
-- DAVAUGHN Y JACKSON LPC
900 E LAHARPE ST
KIRKSVILLE, MO 63501-4520
Phone number: 660-665-1962
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