THEODORE JACKSON

SYRACUSE, NY
NPI1346799830
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: NY  098808)
Enumeration Date2016-09-26
Last Update Date2016-09-26
Business Address
-- THEODORE JACKSON
1045 JAMES ST
SYRACUSE, NY 13203-2730
Phone number: 315-472-4471
Mailing Address
-- THEODORE JACKSON
1045 JAMES ST
SYRACUSE, NY 13203-2730
Phone number: 315-472-4471
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