DANA JACKSON

STATEN ISLAND, NY
NPI1043527310
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  018590)
Enumeration Date2010-09-08
Last Update Date2016-11-30
Business Address
-- DANA JACKSON M.S.
219 CLARKE AVENUE
STATEN ISLAND, NY 10306-1115
Phone number: 718-667-1586
Mailing Address
-- DANA JACKSON M.S.
219 CLARKE AVE
STATEN ISLAND, NY 10306-1115
Phone number: 718-667-1586
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