LUCILLE JACKSON

NEW YORK, NY
NPI1053595819
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  RO50134-1)
Enumeration Date2007-12-28
Last Update Date2011-03-29
Business Address
-- LUCILLE JACKSON LCSW
441 W END AVE SUITE 1B
NEW YORK, NY 10024-5326
Phone number: 917-232-7422
Mailing Address
-- LUCILLE JACKSON LCSW
441 W END AVE SUITE 1B
NEW YORK, NY 10024-5326
Phone number: 917-232-7422
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