MARCUS KIRK JACKSON

BRIDGEPORT, CT
NPI1902964240
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CT  005455)
Enumeration Date2006-12-05
Last Update Date2007-07-08
Business Address
MARCUS KIRK JACKSON LCSW
1635 CENTRAL AVENUE SOUTHWEST CONNECTICUT MENTAL HEALTH SYSTEM
BRIDGEPORT, CT 06610
Phone number: 203-551-7660
Mailing Address
MARCUS KIRK JACKSON LCSW
1635 CENTRAL AVENUE ROOM 213 ATTN SANDRA GRAZYNSKI
BRIDGEPORT, CT 06610
Phone number: 203-551-7660
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