PHILIP MORGAN JACKSON

AUBURN, ME
NPI1780836437
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  LM11566)
Enumeration Date2008-10-14
Last Update Date2008-10-14
Business Address
-- PHILIP MORGAN JACKSON LMSW
220 DANVILLE CORNER RD
AUBURN, ME 04210-8605
Phone number: 207-795-0419
Mailing Address
-- PHILIP MORGAN JACKSON LMSW
899 RIVERSIDE ST
PORTLAND, ME 04103-1070
Phone number: 207-871-1200
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