Willie Jackson II
Willie Jackson II is a Day Training/Habilitation Specialist in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1860 Memory LnJacksonville, FL 32210-1308
Phone: (904) 265-0340
Fax: (904) 265-1906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Day Training/Habilitation Specialist (primary) | Taxonomy 373H00000X |
|---|
Record details
| NPI number | 1700995792 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 30, 2006 |
| Last updated in NPPES | July 8, 2007 |
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