CLARENCE A JACKSON

YOUNGSTOWN, OH
NPI1104304450
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: OH  0000000)
Enumeration Date2018-07-30
Last Update Date2018-07-30
Business Address
CLARENCE A JACKSON
8440 MARKET ST
YOUNGSTOWN, OH 44512-6703
Phone number: 330-965-9999
Mailing Address
CLARENCE A JACKSON
8440 MARKET ST
YOUNGSTOWN, OH 44512-6703
Phone number: 330-965-9999
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