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1407353709
DAI JACKSON
CLEVELAND, OH
NPI
1407353709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-04-12
Last Update Date
2018-11-16
Business Address
DAI JACKSON QMHS
13422 KINSMAN RD
CLEVELAND, OH 44120-4410
Phone number: 216-283-4400
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Mailing Address
DAI JACKSON QMHS
17210 DEFOREST AVE
CLEVELAND, OH 44128-2516
Phone number: 216-283-4400
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