JACQUESE LYNNETTE SOUTHERN

CLEVELAND, OH
NPI1215541362
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: OH  C.2002631)
Enumeration Date2020-09-06
Last Update Date2020-09-06
Business Address
JACQUESE LYNNETTE SOUTHERN
12620 LARCHMERE BLVD
CLEVELAND, OH 44120-1110
Phone number: 216-543-0478
Mailing Address
JACQUESE LYNNETTE SOUTHERN
18214 LA SALLE AVE # UP
CLEVELAND, OH 44119-2002
Phone number: 216-533-0478