MELODIE ISMA JACKSON

PHILADELPHIA, PA
NPI1295028645
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2011-05-18
Last Update Date2011-05-18
Business Address
-- MELODIE ISMA JACKSON
1401 S 4TH ST
PHILADELPHIA, PA 19147-5948
Phone number: 215-339-1070
Mailing Address
-- MELODIE ISMA JACKSON
432 N 6TH ST
PHILADELPHIA, PA 19123-4004
Phone number: 215-925-2400