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1336647023
SHELIA M JACKSON
DAYTON, OH
NPI
1336647023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 976105)
Enumeration Date
2018-01-27
Last Update Date
2018-01-27
Business Address
SHELIA M JACKSON
108 CLIFF ST
DAYTON, OH 45405-2806
Phone number: 937-212-2684
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Mailing Address
SHELIA M JACKSON
108 CLIFF ST
DAYTON, OH 45405-2806
Phone number: 937-212-2684
Copy
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