Alfaye Jackson PLPC

NPI 1770749905 - Counselor - 101YP2500X

NPI Details
NPI 1770749905
Gender Female
Enumeration Date 08/07/2008
Last Updated 08/07/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
104 FOX CREEK RD
ROLLA MO, 65401-3620, US
Phone (573) 308-4809
Fax
Business Location
104 FOX CREEK RD
ROLLA MO, 65401-3620, US
Phone (573) 308-4809
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Missouri
License Number 2008015070
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According to our database, Ms. Alfaye Jackson PLPC NPI is 1770749905, taxonomy code is 101YP2500X and license number is 2008015070, license state is located at Missouri. Alfaye Jackson PLPC physically located at 104 Fox Creek Rd, Rolla MO, 65401-3620. NPI Number Alfaye Jackson PLPC has the Individual type.

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1770749905 NPI number is provided on an as is basis without warranty of any kind. 1770749905 is maintained by the National Plan & Provider Enumeration System. The contents of Alfaye Jackson PLPC are for informational purposes only.