PRETHADAWN JACK
Mental Health at Bergen St, Brooklyn, NY

License number
New York 270311
Category
Mental Health
Type
Mental Health
Address
Address
1911 Bergen St, Brooklyn, NY 11233
Phone
(718) 495-6862
National Provider ID: 1134534373
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Prethadawn Jack
175 Hawthorne St APT 4E, Brooklyn, NY 11225
(718) 469-9529
Prethadawn L Jack
175 Hawthorne St, Brooklyn, NY 11225
(718) 469-9529
Prethadawn L Jack, age 69
1911 Bergen St, Brooklyn, NY 11233

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