Lillian Jackson

NPI #1083006282 in Allston, Massachusetts

Provider Information

NPI Number
1083006282
Entity Type
Individual
Name
Lillian Jackson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Feb 24, 2015
Last Updated
Feb 24, 2015

Practice Location

Address
14 FORDHAM RD
ZIP Code
02134-3006
Phone
(617) 782-6460

Specialties & Taxonomy Codes

Specialty
Counselor

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