ANTOINETTE ROSA JACKSON (AZIZ)

PHILADELPHIA, PA
NPI1700439171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: PA  PC009302)
Enumeration Date2019-07-24
Last Update Date2019-07-24
Business Address
ANTOINETTE ROSA JACKSON (AZIZ) LPC
6122 RIDGE AVE
PHILADELPHIA, PA 19128-1603
Phone number: 215-487-1330
Mailing Address
ANTOINETTE ROSA JACKSON (AZIZ) LPC
6014 CATHARINE ST # B
PHILADELPHIA, PA 19143-2306
Phone number: 215-432-8608
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