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1053595819
LUCILLE JACKSON
NEW YORK, NY
NPI
1053595819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY RO50134-1)
Enumeration Date
2007-12-28
Last Update Date
2011-03-29
Business Address
-- LUCILLE JACKSON LCSW
441 W END AVE SUITE 1B
NEW YORK, NY 10024-5326
Phone number: 917-232-7422
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Mailing Address
-- LUCILLE JACKSON LCSW
441 W END AVE SUITE 1B
NEW YORK, NY 10024-5326
Phone number: 917-232-7422
Copy
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