ERIC D JACKSON

ORANGE, CT
NPI1184047698
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CT  003329)
Enumeration Date2014-02-04
Last Update Date2014-02-04
Business Address
-- ERIC D JACKSON PhD
35 OLD TAVERN RD SUITE 103
ORANGE, CT 06477-3450
Phone number: 203-701-9666
Mailing Address
-- ERIC D JACKSON PhD
88 E BROADWAY APT B
MILFORD, CT 06460-6128
Phone number: 203-701-9666
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