AQUANATTE JACKSON

GARY, IN
NPI1508145244
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2011-08-11
Last Update Date2025-03-28
Business Address
AQUANATTE JACKSON LCSW
5059 HAYES ST
GARY, IN 46408-4355
Phone number: 256-797-1363
Mailing Address
AQUANATTE JACKSON LCSW
5059 HAYES ST
GARY, IN 46408-4355
Phone number: 256-797-1363
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