CARNELL JACKIE JACKSON

PROVIDENCE, RI
NPI1184992448
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
Enumeration Date2011-12-01
Last Update Date2011-12-01
Business Address
CARNELL JACKIE JACKSON MSW
153 SUMMER ST
PROVIDENCE, RI 02903-4011
Phone number: 401-276-4300
Mailing Address
CARNELL JACKIE JACKSON MSW
153 SUMMER ST
PROVIDENCE, RI 02903-4011
Phone number: 401-721-6430
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