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1790380020
SUZANNA JACKSON EL
CLEVELAND, OH
NPI
1790380020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-12-03
Last Update Date
2023-06-20
Business Address
SUZANNA JACKSON EL QMHS 3YRS CMS
3500 CARNEGIE AVE
CLEVELAND, OH 44115-2641
Phone number: 440-260-8300
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Mailing Address
SUZANNA JACKSON EL QMHS 3YRS CMS
434 EASTLAND RD
BEREA, OH 44017-1217
Phone number: 440-234-2006
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