KELLY JACKSON

PHILADELPHIA, PA
NPI1518274240
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2010-09-01
Last Update Date2010-09-01
Business Address
KELLY JACKSON
112 N BROAD ST
PHILADELPHIA, PA 19102-1512
Phone number: 215-568-0860
Mailing Address
KELLY JACKSON
112 N BROAD ST
PHILADELPHIA, PA 19102-1512
Phone number: 215-568-0860
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