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Individual

DR. DAWN FLEMING JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
150 S 600 E, SUITE 4A AMBASSADOR PLAZA, SALT LAKE CITY, UT 84102-1999
(801) 364-3222
(801) 364-3336
Mailing address
150 S 600 E, SUITE 4A AMBASSADOR PLAZA, SALT LAKE CITY, UT 84102-1999
(801) 364-3222
(801) 364-3336

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
5081773-2501
UT

Other

Enumeration date
04/07/2009
Last updated
04/07/2009
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