Individual
LASHANDA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
336 W 1ST ST STE 105, FLINT, MI 48502-1382
(810) 553-6531
Mailing address
336 W 1ST ST STE 105, FLINT, MI 48502-1382
(810) 553-6531
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
251B00000X
Case Management Agency
—
MI
Other
Enumeration date
01/09/2024
Last updated
08/26/2025
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