ELIJAH JAGGER JACKSON

PHILADELPHIA, PA
NPI1669096244
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: PA  CW023481)
Additional Taxonomies104100000X Social Worker
Enumeration Date2020-05-30
Last Update Date2023-05-29
Business Address
ELIJAH JAGGER JACKSON LCSW
201 S 13TH ST APT 1011
PHILADELPHIA, PA 19107-5404
Phone number: 631-346-8485
Mailing Address
ELIJAH JAGGER JACKSON LCSW
201 S 13TH ST APT 1011
PHILADELPHIA, PA 19107-5404
Phone number: 631-346-8485
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