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Individual

JACKEE C NAMWILA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCPA

Contact information

Practice address
442 5TH AVE # 1536, NEW YORK, NY 10018-2794
(646) 864-4631
(212) 954-5151
Mailing address
1227 ALBANY AVE STE 1, BROOKLYN, NY 11203-5635
(646) 864-4631
(212) 954-5151

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
10/30/2024
Last updated
10/30/2024
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