THOMAS WALLACE JACKSON

CANTON, OH
NPI1205588670
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-01-26
Last Update Date2022-01-26
Business Address
THOMAS WALLACE JACKSON
400 TUSCARAWAS ST W
CANTON, OH 44702-2044
Phone number: 330-612-1739
Mailing Address
THOMAS WALLACE JACKSON
400 TUSCARAWAS ST W
CANTON, OH 44702-2044
Phone number: 330-612-1739
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