DONOVAN JACKSON

WADSWORTH, OH
NPI1710666938
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2023-07-14
Last Update Date2024-11-04
Business Address
DONOVAN JACKSON
765 WEST ST
WADSWORTH, OH 44281-1676
Phone number: 234-799-0653
Mailing Address
DONOVAN JACKSON
765 WEST ST
WADSWORTH, OH 44281-1676
Phone number: 330-861-8110
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