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1255769287
BENJAMIN JACKSON
NEW YORK, NY
NPI
1255769287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NY 0038997-1)
Enumeration Date
2013-10-30
Last Update Date
2013-10-30
Business Address
BENJAMIN JACKSON
330 W 28TH ST 4J
NEW YORK, NY 10001-4722
Phone number: 917-514-7478
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Mailing Address
BENJAMIN JACKSON
330 W 28TH ST 4J
NEW YORK, NY 10001-4722
Phone number: 917-514-7478
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