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Individual

CARLINE JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
301 ORIENTAL BLVD, BROOKLYN, NY 11235-4149
(718) 429-2000
Mailing address
301 ORIENTAL BLVD APT 1F, BROOKLYN, NY 11235-4146
(718) 429-2000

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
072550
NY

Other

Enumeration date
11/01/2023
Last updated
11/01/2023
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