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1891225397
LISA LYNNETTE JACKSON
ANN ARBOR, MI
NPI
1891225397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6451016062)
Enumeration Date
2017-06-16
Last Update Date
2021-09-19
Business Address
LISA LYNNETTE JACKSON LLPC
501 N MAPLE RD
ANN ARBOR, MI 48103-2827
Phone number: 800-395-3223
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Mailing Address
LISA LYNNETTE JACKSON LLPC
501 N MAPLE RD
ANN ARBOR, MI 48103-2827
Phone number: 800-395-3223
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