MICHAEL JACKSON

NEWARK, DE
NPI1639625833
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: DE  AC-0000107)
Enumeration Date2016-08-28
Last Update Date2016-08-28
Business Address
-- MICHAEL JACKSON M.A., N.C.C,
128 MUTE SWAN PLACE
NEWARK, DE 19711
Phone number: 786-333-8982
Mailing Address
-- MICHAEL JACKSON M.A., N.C.C,
2415 E ERIC DR
WILMINGTON, DE 19808-4206
Phone number: 786-333-8982
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