Individual
DAWN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 CLEARBROOK AVE, LANSDOWNE, PA 19050-1040
(267) 972-1223
Mailing address
315 CLEARBROOK AVE, LANSDOWNE, PA 19050-1040
(267) 972-1223
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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