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1821858556
DONNA JEAN JACKSON
LORAIN, OH
NPI
1821858556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.187664)
Enumeration Date
2024-03-20
Last Update Date
2024-03-20
Business Address
DONNA JEAN JACKSON CDCA
2115 W PARK DR
LORAIN, OH 44053-1138
Phone number: 440-989-4900
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Mailing Address
DONNA JEAN JACKSON CDCA
2115 W PARK DR
LORAIN, OH 44053-1138
Phone number: 440-989-4900
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