MS. Calaise Jackson

NPI #1669807673 in Forked River, New Jersey

Provider Information

NPI Number: 1669807673
Entity Type: Individual
Name: MS. Calaise Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 9, 2013
Last Updated: Sep 9, 2013

Practice Location

Address: 615 LACEY RD STE 3
City: Forked River
State: New Jersey
ZIP Code: 08731-2200
Phone: (609) 242-3322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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