SONJI JACKSON

BRONX, NY
NPI1275926057
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  16895)
Enumeration Date2015-03-18
Last Update Date2015-03-18
Business Address
-- SONJI JACKSON CASAC
1600 MALCOMBS ROAD
BRONX, NY 10452
Phone number: 718-299-3300
Mailing Address
-- SONJI JACKSON CASAC
1600 MACOMBS RD
BRONX, NY 10452-2016
Phone number: 718-299-3300
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