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Tonyette M. Jackson, LSW

Social Worker in Jersey City, NJ. Individual provider (NPI-1).

NPI number1396022158
StatusActive
Last updated in NPPESNov 8, 2011

Details

NPI
1396022158
Entity type
Individual (NPI-1)
Name
Ms. Tonyette M. Jackson
Credential
LSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 8, 2011
Last updated
Nov 8, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker44SL05305400NJYes

Practice location

249 Virginia Ave
Jersey City, NJ 07304-1423

Phone 201-798-9900

Mailing address

Po Box 407
Old Bridge, NJ 08857-0407

Phone 201-463-2374

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