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1790553204
CAMILLE JACKSON
PARMA, OH
NPI
1790553204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.183689)
Enumeration Date
2023-12-13
Last Update Date
2023-12-19
Business Address
CAMILLE JACKSON
5850 RIDGE RD
PARMA, OH 44129-3169
Phone number: 440-990-4467
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Mailing Address
CAMILLE JACKSON
4600 MONTGOMERY RD
CINCINNATI, OH 45212-2697
Phone number: 833-510-4357
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