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1942762497
LACEY JACKSON
MCALESTER, OK
NPI
1942762497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-04-03
Last Update Date
2019-04-03
Business Address
LACEY JACKSON
1101 E MONROE AVE
MCALESTER, OK 74501-4815
Phone number: 918-426-7800
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Mailing Address
LACEY JACKSON
PO BOX 579
MCALESTER, OK 74502-0579
Phone number:
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