Individual
ERIC LANCE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 W 26TH ST, ERIE, PA 16508-1402
(814) 451-2262
Mailing address
1330 W 26TH ST, ERIE, PA 16508-1402
(814) 451-2262
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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