Individual
ALLISON MICHELLE GREENE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
406 7TH AVE, BROOKLYN, NY 11215-7306
(347) 742-5838
Mailing address
195 ADAMS ST, APARTMENT 5J, BROOKLYN, NY 11201-1851
(347) 742-5838
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
078226
NY
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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