Jerome Alexander-Terrell Jackson

NPI #1740815497 in Peoria, Arizona

Provider Information

NPI Number
1740815497
Entity Type
Individual
Name
Jerome Alexander-Terrell Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Foster Care Agency
Enumeration Date
Mar 3, 2020
Last Updated
Mar 3, 2020

Practice Location

Address
9680 W NORTHERN AVE UNIT 2311
City
Peoria
State
Arizona
ZIP Code
85345-4655
Phone
(989) 980-8286

Specialties & Taxonomy Codes

Specialty
Respite Care - Respite Care, Mental Illness, ChildRespite Care, Mental Illness, Child
Foster Care Agency

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