Individual
BERNADETTE N JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
175 REMSEN ST, SUITE 625, BROOKLYN, NY 11201-4333
(718) 858-4050
(718) 858-4137
Mailing address
175 REMSEN ST, SUITE 625, BROOKLYN, NY 11201-4333
(718) 858-4050
(718) 858-4137
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
078810-1
NY
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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