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1407324122
LYKEISHIA JACKSON
COLUMBUS, OH
NPI
1407324122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-12
Last Update Date
2018-11-12
Business Address
LYKEISHIA JACKSON
1430 S HIGH ST
COLUMBUS, OH 43207-1045
Phone number: 614-445-8151
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Mailing Address
LYKEISHIA JACKSON
1430 S HIGH ST
COLUMBUS, OH 43207-1045
Phone number:
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