Individual
JANE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LSW
Contact information
Practice address
757 COLUMBUS AVE, LEBANON, OH 45036-1607
(513) 836-8230
Mailing address
757 COLUMBUS AVE, LEBANON, OH 45036-1607
(513) 545-8908
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1430094
OH
Other
Enumeration date
05/08/2018
Last updated
10/28/2024
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