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MELVIN JACKSON
Emotionally Disturbed Childrens' Residential Treatment Facility
NPI: 1831336411Individual
Specialties, Licenses & Credentials
Residential Treatment Facility, Emotionally Disturbed Children
Code: 322D00000X
11297(AZ)
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Contact & Hours
- Address
- 2415 N 124TH CIR
AVONDALE, AZ 85392 - Phone
- (602) 841-3438
Quick Facts
- NPI
- 1831336411
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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