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1912752882
JACQUELINE LEE FOX
ALTOONA, PA
NPI
1912752882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-04-23
Last Update Date
2024-04-23
Business Address
JACQUELINE LEE FOX
500 E CHESTNUT AVE
ALTOONA, PA 16601-5215
Phone number: 814-943-0414
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Mailing Address
JACQUELINE LEE FOX
500 E CHESTNUT AVE
ALTOONA, PA 16601-5215
Phone number: 814-943-0414
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