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1922670793
BROOKE JACKS
VENTURA, CA
NPI
1922670793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 120131)
Enumeration Date
2021-07-12
Last Update Date
2021-09-01
Business Address
BROOKE JACKS
260 MAPLE CT STE 205
VENTURA, CA 93003-9134
Phone number: 805-798-3723
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Mailing Address
BROOKE JACKS
1926 NELSON AVE
REDONDO BEACH, CA 90278-2307
Phone number: 303-941-2559
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