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1891900734
SHIRLEY JACKSON-POORDAWOOD
GLENDALE, CA
NPI
1891900734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-14
Last Update Date
2010-05-21
Business Address
Mrs. SHIRLEY JACKSON-POORDAWOOD
4628 SAN FERNANDO RD
GLENDALE, CA 91204-1822
Phone number: 818-240-8843
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Mailing Address
Mrs. SHIRLEY JACKSON-POORDAWOOD
10820 DE HAVEN AVE
HANSEN HILLS, CA 91331-2009
Phone number:
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