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1871851626
TEDDIE JACKSON
SAN DIEGO, CA
NPI
1871851626
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Former Name
TEDDIE CAITLIN COX LANCE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF69916)
Enumeration Date
2012-04-30
Last Update Date
2023-11-26
Business Address
Ms. TEDDIE JACKSON PsyD
1420 KETTNER BLVD STE 215
SAN DIEGO, CA 92101-2421
Phone number: 916-388-9418
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Mailing Address
Ms. TEDDIE JACKSON PsyD
3805 DOVE ST
SAN DIEGO, CA 92103-2953
Phone number: 916-396-5987
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