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Individual

DR. DANA JAMAL JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD.

Contact information

Practice address
7510 91ST AVE, WOODHAVEN, NY 11421-2824
(718) 298-2671
(718) 296-4660
Mailing address
7510 91ST AVE, WOODHAVEN, NY 11421-2824
(847) 977-0609
(718) 927-9398

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016903
NY

Other

Enumeration date
05/21/2008
Last updated
08/19/2013
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