Search › Pennsylvania › 104100000X
Troy Jackson, LSW
NPI 1497164792 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2109 Chancellor St
Philadelphia, PA 19103 - Phone
- (267) 235-8800
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania