BRANDON CLARK JACKSON

WOODSIDE, NY
NPI1427611151
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: NY  101654-1)
Enumeration Date2019-04-18
Last Update Date2019-04-18
Business Address
Mr. BRANDON CLARK JACKSON LMSW
42-77 65TH PLACE
WOODSIDE, NY 11377-5054
Phone number: 718-429-2000
Mailing Address
Mr. BRANDON CLARK JACKSON LMSW
517 E 77TH ST APT 1I
NEW YORK, NY 10075-8865
Phone number: 917-499-8149
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