Organization
DORYE JACKSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORYE EMORY JACKSON LCSW (LCSW)
(203) 979-3503
Entity
Organization
Contact information
Practice address
50 WASHINGTON ST, NORWALK, CT 06854-2710
(203) 977-3503
Mailing address
458 WIRE MILL RD, STAMFORD, CT 06903-4711
(203) 979-3503
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
008194
CT
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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