DERISHA JACKSON

MIDWEST CITY, OK
NPI1780968628
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2011-10-10
Last Update Date2011-10-10
Business Address
-- DERISHA JACKSON
351 N AIR DEPOT BLVD SUITE S
MIDWEST CITY, OK 73110-1700
Phone number: 405-610-6540
Mailing Address
-- DERISHA JACKSON
13525 N HOLLOW ROCK RD. APT D
OKLAHOMA CITY, OK 73120
Phone number: 209-242-4270