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1093321838
CHARLENE JACKSON
BEREA, OH
NPI
1093321838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-09-17
Last Update Date
2020-09-17
Business Address
CHARLENE JACKSON QMHS MA CMS MA
202 E BAGLEY RD
BEREA, OH 44017-2058
Phone number: 440-260-8300
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Mailing Address
CHARLENE JACKSON QMHS MA CMS MA
434 EASTLAND RD
BEREA, OH 44017-1217
Phone number: 440-234-2006
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