TIESHA K JACKSON

DAYTON, OH
NPI1922570126
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-12-28
Last Update Date2018-12-28
Business Address
Miss TIESHA K JACKSON
732 BECKMAN ST
DAYTON, OH 45410-2165
Phone number: 937-253-1680
Mailing Address
Miss TIESHA K JACKSON
732 BECKMAN ST
DAYTON, OH 45410-2165
Phone number:
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