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Individual
DR. LAWRENCE JACKSON
Active
Individual
DR. LAWRENCE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1517
LA
106H00000X
Marriage & Family Therapist
3173
NV
106H00000X
Marriage & Family Therapist
TPMF644
FL
Other
Enumeration date
07/29/2020
Last updated
08/20/2025
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