Theodore Jackson
Theodore Jackson is a Social Worker in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2016
Practice location Address checks out
1045 James StSyracuse, NY 13203-2730
Phone: (315) 472-4471
Fax: (315) 472-1759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 098808 (NY) |
|---|
Record details
| NPI number | 1346799830 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 26, 2016 |
| Last updated in NPPES | September 26, 2016 |
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