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1912136797
LATOYA T JACKOSN
DETROIT, MI
NPI
1912136797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: MI J250488789675)
Enumeration Date
2009-07-14
Last Update Date
2009-07-14
Business Address
-- LATOYA T JACKOSN Counselor
SUNSHINE TREATMENT IN 4821 E. MCNICHOLS
DETROIT, MI 48212
Phone number: 313-368-4800
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Mailing Address
-- LATOYA T JACKOSN Counselor
20420 TERRELL ST
DETROIT, MI 48234-3209
Phone number: 313-218-2626
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