THEODORE JACKSON
Social Worker
Active
Individual
NPI: 1346799830
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | Yes | 098808 (NY) |
Frequently Asked Questions
NPI 1346799830 is the National Provider Identifier for THEODORE JACKSON, a Social Worker provider located in Syracuse, NY. This NPI was enumerated on September 26, 2016.
THEODORE JACKSON practices at 1045 JAMES ST, Syracuse, NY 13203.
Quick Facts
- NPI
- 1346799830
- Type
- Individual
- Enumerated
- Sep 26, 2016
- Last Updated
- Sep 26, 2016
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