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1134700677
TERRIE JACKSON
CLEVELAND, OH
NPI
1134700677
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OH 0002374)
Enumeration Date
2021-04-16
Last Update Date
2021-04-16
Business Address
TERRIE JACKSON CDCA / Peer Support
2800 RIVERSIDE AVE
CLEVELAND, OH 44109-2324
Phone number: 216-246-7081
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Mailing Address
TERRIE JACKSON CDCA / Peer Support
3719 DENISON AVE
CLEVELAND, OH 44109-2691
Phone number: 216-417-4831
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