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Individual

ALISON JAKUBOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
2322 E 22ND ST STE 200, CLEVELAND, OH 44115-3100
(216) 363-2570
Mailing address
PO BOX 932127, CLEVELAND, OH 44193-0008

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.2103002
OH
104100000X
Social Worker
S.1802542
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2871101
OH
Enumeration date
06/13/2018
Last updated
06/17/2022
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