Crystal Jackson

NPI #1588211692 in Patchogue, New York

Provider Information

NPI Number
1588211692
Entity Type
Individual
Name
Crystal Jackson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Enumeration Date
Aug 22, 2019
Last Updated
Aug 22, 2019

Practice Location

Address
456 WAVERLY AVE
ZIP Code
11772-1586
Phone
(631) 447-6460

Specialties & Taxonomy Codes

Specialty
Social Worker

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