DENISE DIANE JACKSON

CLEVELAND, OH
NPI1538675632
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  164132)
Enumeration Date2017-12-27
Last Update Date2023-01-26
Business Address
DENISE DIANE JACKSON
4298 ROCKY RIVER DR
CLEVELAND, OH 44135-1951
Phone number: 216-526-4729
Mailing Address
DENISE DIANE JACKSON
4298 ROCKY RIVER DR
CLEVELAND, OH 44135-1951
Phone number: 216-526-4729
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