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Susan Jackson
NPI 1871266023 · on the registry since 2021
Practice
- Address
- 1140 Commerce Center Drive
Lancaster, CA 93534 - Phone
- (661) 401-2347
- Organisation at this address
- Los Angeles County Department Of Mental Health
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 173C00000X
- Sex
- Female
- Record last updated
- 2021-07-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California