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1992024228
SARA LAFAWN JACKSON
ALTUS, OK
NPI
1992024228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 4704)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2010-05-26
Last Update Date
2020-09-14
Business Address
SARA LAFAWN JACKSON M.S. LPC
120 W BROADWAY ST
ALTUS, OK 73521-3802
Phone number: 580-649-8355
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Mailing Address
SARA LAFAWN JACKSON M.S. LPC
120 W BROADWAY ST
ALTUS, OK 73521-3802
Phone number: 580-649-8355
Copy
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