Individual
ALYSON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
390 5TH ST APT 2, BROOKLYN, NY 11215-2807
(718) 768-0787
Mailing address
390 5TH ST APT 2, BROOKLYN, NY 11215-2807
(718) 768-0787
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
078081
NY
Other
Enumeration date
11/04/2008
Last updated
09/10/2009
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