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1821555723
KYMBERLY JACKSON
DAYTON, OH
NPI
1821555723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 168956)
Enumeration Date
2019-02-27
Last Update Date
2019-02-27
Business Address
KYMBERLY JACKSON
2 STAFFORD AVE
DAYTON, OH 45405-2336
Phone number: 937-475-2424
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Mailing Address
KYMBERLY JACKSON
2 STAFFORD AVE
DAYTON, OH 45405-2336
Phone number: 937-475-2424
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