HENRY JACKSON

BRONX, NY
NPI1568833606
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  072695)
Enumeration Date2015-10-15
Last Update Date2015-10-15
Business Address
-- HENRY JACKSON
1500 WATERS PL
BRONX, NY 10461-2723
Phone number: 718-944-7110
Mailing Address
-- HENRY JACKSON
1500 WATERS PL
BRONX, NY 10461-2723
Phone number: 718-944-7110
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