CHANTILLE UNIQUE JACKSON

BEREA, OH
NPI1578824447
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X 
(Licence: OH  S.1101606)
Enumeration Date2012-06-06
Last Update Date2012-06-06
Business Address
-- CHANTILLE UNIQUE JACKSON MSW, LSW
202 E BAGLEY RD
BEREA, OH 44017-2058
Phone number: 440-260-8300
Mailing Address
-- CHANTILLE UNIQUE JACKSON MSW, LSW
202 E BAGLEY RD
BEREA, OH 44017-2058
Phone number: 440-260-8300