Individual
MISS AISHA MARIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SWA
Contact information
Practice address
3659 GREEN RD STE 220, BEACHWOOD, OH 44122-5715
(216) 260-9022
(216) 260-9038
Mailing address
16314 SEVILLE RD, CLEVELAND, OH 44128-3714
(216) 318-4553
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
W.1300054
OH
104100000X
Social Worker
—
—
Other
Enumeration date
06/21/2018
Last updated
10/09/2024
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