Individual
CLASSIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25701 N LAKELAND BLVD, EUCLID, OH 44132-2450
(216) 273-7000
Mailing address
245 TWILIGHT DR, SEVEN HILLS, OH 44131-4051
(216) 773-4440
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S1200519
OH
Other
Enumeration date
10/03/2023
Last updated
10/23/2023
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