Organization
J TABORN ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOYCE TABORN JACKSON PH.D. (VICE-PRES./LICENSED PSYCHOLOGIST)
(612) 338-9012
Entity
Organization
Contact information
Practice address
1219 MARQUETTE AVE, SUITE 80, MINNEAPOLIS, MN 55403-2488
(612) 338-9012
(612) 338-9020
Mailing address
1219 MARQUETTE AVE, SUITE 80, MINNEAPOLIS, MN 55403-2489
(612) 338-9012
(612) 338-9020
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2524
MN
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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