RICHARD RAY JACKSON

TROY, OH
NPI1386924363
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OH  0008431)
Enumeration Date2011-08-23
Last Update Date2011-08-23
Business Address
-- RICHARD RAY JACKSON LISW
104 S RIDGE AVE
TROY, OH 45373-2704
Phone number: 937-339-7769
Mailing Address
-- RICHARD RAY JACKSON LISW
104 S RIDGE AVE
TROY, OH 45373-2704
Phone number: 937-339-7769
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