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Individual

MS. PAMELA SUE JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT-BC, NMT

Contact information

Practice address
1540 COLORADO AVE, CANON CITY, CO 81212-4511
(719) 431-3549
Mailing address
2480 BIRD POINT DR, COTOPAXI, CO 81223-9302
(719) 942-4543

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary

Other

Enumeration date
04/06/2007
Last updated
07/08/2007
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