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1790969376
QUMARAH S JACKSON
BROOKLYN, NY
NPI
1790969376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 18344)
Enumeration Date
2007-12-19
Last Update Date
2010-05-11
Business Address
Ms. QUMARAH S JACKSON CASAC
202 FLATBUSH AVE
BROOKLYN, NY 11217-2177
Phone number: 718-398-0800
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Mailing Address
Ms. QUMARAH S JACKSON CASAC
202 FLATBUSH AVE
BROOKLYN, NY 11217-2177
Phone number: 718-398-0800
Copy
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