Individual
CARMEN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5151 MONROE ST STE 204, TOLEDO, OH 43623-3467
(419) 865-5690
Mailing address
5151 MONROE ST STE 204, TOLEDO, OH 43623-3467
(419) 865-5690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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