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1164029245
COURTNEY JACKSON
BROOKLYN, NY
NPI
1164029245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 029727)
Enumeration Date
2020-10-02
Last Update Date
2020-10-02
Business Address
COURTNEY JACKSON
65 COURT ST
BROOKLYN, NY 11201-4916
Phone number: 718-935-4000
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Mailing Address
COURTNEY JACKSON
241 E 86TH ST APT 5B
NEW YORK, NY 10028-3623
Phone number: 203-240-8106
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