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1831963057
DERRICK A JACKSON
WASHINGTON, DC
NPI
1831963057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-11-08
Last Update Date
2023-11-08
Business Address
DERRICK A JACKSON
1301 LENFANT SQ SE
WASHINGTON, DC 20020-6724
Phone number: 202-269-2401
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Mailing Address
DERRICK A JACKSON
1301 LENFANT SQ SE
WASHINGTON, DC 20020-6724
Phone number: 202-320-2384
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