Individual
MS. CHANBRIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
16318 JAMAICA AVE, JAMAICA, NY 11432-4919
(718) 206-3440
(718) 206-3608
Mailing address
16318 JAMAICA AVE, JAMAICA, NY 11432-4919
(718) 206-3440
(718) 206-3608
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
088632-1
NY
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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