TRACEY JACKSON

WILMINGTON, DE
NPI1902074545
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-02-18
Last Update Date2008-02-18
Business Address
-- TRACEY JACKSON
2814 W 2ND ST
WILMINGTON, DE 19805-1807
Phone number: 302-472-0381
Mailing Address
-- TRACEY JACKSON
2814 W 2ND ST
WILMINGTON, DE 19805-1807
Phone number: 302-472-0381
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