KEANU MALIQ JACKSON

BROOKLYN, NY
NPI1740807411
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: NY  096448)
Enumeration Date2020-06-29
Last Update Date2024-02-05
Business Address
KEANU MALIQ JACKSON LCSW
1217 BEDFORD AVE # 206
BROOKLYN, NY 11216-1801
Phone number: 772-834-8567
Mailing Address
KEANU MALIQ JACKSON LCSW
836 BERGEN ST APT 112
BROOKLYN, NY 11238-7455
Phone number: 772-834-8567
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