Alicia Carol Jackson, 01/31/05
Alicia Carol Jackson, 01/31/05 is a Clinical Social Worker in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2006.
- Licensed in
- NY
- In the registry since
- 2006
Practice location Address checks out
2094 Pitkin AveBrooklyn, NY 11207-3509
Phone: (718) 240-0602
Fax: (718) 240-0601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 069227-1 (NY) |
|---|
Record details
| NPI number | 1376622217 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | 01/31/05 |
| Sole proprietor | No |
| NPI enumerated | November 2, 2006 |
| Last updated in NPPES | July 8, 2007 |
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