Individual
MRS. MONICA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1988 WALNUT HILL PARK DR, COLUMBUS, OH 43232-3051
(614) 395-7057
Mailing address
1988 WALNUT HILL PARK DR, COLUMBUS, OH 43232-3051
(614) 395-7057
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
OH
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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