Individual
JACKIE BOESINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1266 ROMANE DR, SAGAMORE HILLS, OH 44067-1652
(330) 352-6775
Mailing address
1266 ROMANE DR, SAGAMORE HILLS, OH 44067-1652
(330) 352-6775
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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