JYLIAN ANN JACKSON

PORT JERVIS, NY
NPI1982236022
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: NY  107538)
Enumeration Date2020-02-06
Last Update Date2020-02-07
Business Address
JYLIAN ANN JACKSON LMSW
146 PIKE STREET OUTPATIENT CLINIC
PORT JERVIS, NY 12771
Phone number: 845-858-1456
Mailing Address
JYLIAN ANN JACKSON LMSW
30 HARRIMAN DR
GOSHEN, NY 10924-2410
Phone number: 845-291-2600