Colin Jackson, LSW

NPI #1962268326 in Orange, New Jersey

Provider Information

NPI Number: 1962268326
Entity Type: Individual
Name: Colin Jackson, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Feb 23, 2024
Last Updated: Feb 23, 2024

Practice Location

Address: 395 S CENTER ST
City: Orange
State: New Jersey
ZIP Code: 07050-3205
Phone: (973) 323-3909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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