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Individual

TANISHA JAMISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AA.CDA

Contact information

Practice address
5171 MAYFIELD RD, LYNDHURST, OH 44124-2405
(440) 488-7341
(440) 683-4227
Mailing address
628 CHARLES PL, HIGHLAND HEIGHTS, OH 44143-1948
(440) 488-7341
(440) 488-7341

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
OH
385HR2050X
Respite Care Camp
OH
385HR2055X
Child Mental Illness Respite Care
OH
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
OH
385HR2065X
Child Physical Disabilities Respite Care
OH

Other

Enumeration date
11/13/2025
Last updated
11/13/2025
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