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1487064986
SUSAN JACKSON
NEW YORK, NY
NPI
1487064986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 087300-1)
Enumeration Date
2014-05-06
Last Update Date
2014-05-06
Business Address
-- SUSAN JACKSON LMSW
425 W 48TH ST 4K
NEW YORK, NY 10036
Phone number: 646-342-4595
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Mailing Address
-- SUSAN JACKSON LMSW
425 W 48TH ST APT 4K
NEW YORK, NY 10036-1284
Phone number: 646-342-4595
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