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1285386599
ALLAN JAMES JACKSON
BROOKLYN, NY
NPI
1285386599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TA0400X Psychologist, Addiction (Substance Use Disorder)
(Licence: 0)
Enumeration Date
2022-01-19
Last Update Date
2022-01-19
Business Address
ALLAN JAMES JACKSON
1623 KINGS HWY
BROOKLYN, NY 11229-1209
Phone number: 718-954-3800
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Mailing Address
ALLAN JAMES JACKSON
1623 KINGS HWY
BROOKLYN, NY 11229-1209
Phone number: 718-954-3800
Copy
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