DERRICK LORAND JACKSON

INDEPENDENCE, OH
NPI1760956452
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-01-15
Last Update Date2019-01-15
Business Address
Mr. DERRICK LORAND JACKSON
4401 ROCKSIDE RD STE 401
INDEPENDENCE, OH 44131-2147
Phone number: 216-532-9776
Mailing Address
Mr. DERRICK LORAND JACKSON
20270 MORRIS AVE
EUCLID, OH 44123-2904
Phone number:
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