MAVIS JACKSON

ORANGEBURG, NY
NPI1083455315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: NY  572849)
Enumeration Date2024-06-03
Last Update Date2024-06-03
Business Address
MAVIS JACKSON
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962-1157
Phone number: 845-680-7800
Mailing Address
MAVIS JACKSON
37 WOODFIELD RD
POMONA, NY 10970-2216
Phone number:
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