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Marilyn Jackson Llc
Health Service Clinic/Center in Ridgefield, Connecticut
NPI 1235881814

Marilyn Jackson Llc is a Health Service Clinic/Center based in Ridgefield, CT and is specialized in Health Service. Marilyn Jackson Llc practices in Ridgefield, CT. The NPI Number for Marilyn Jackson Llc is 1235881814 and holds a License No. (Connecticut).

The current practice location address for Marilyn Jackson Llc is 10 South St Ste 205, Ridgefield, CT and can be reached out via phone at 203-212-9284.

Location: 10 South St Ste 205, Ridgefield, CT, 06877-4125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235881814
Provider Name
Marilyn Jackson Llc
Credential
Provider Entity Type
Organization
Address
10 South St Ste 205, Ridgefield, CT, 06877-4125
Phone Number
203-212-9284
Fax Number
Provider Enumeration Date
01/25/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10 South St Ste 205
City
Ridgefield
State
Connecticut
Zip
06877-4125
Phone Number
203-212-9284
Fax Number
person
Provider Business Mailing Address Details
Address
10 South St Ste 205
City
Ridgefield
State
Connecticut
Zip
06877-4125
Phone Number
203-212-9284
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
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