Individual
MRS. ELIZABETH SHEREE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2640 SAINT CHARLES AVE, DAYTON, OH 45410-3147
(937) 586-0435
Mailing address
2640 SAINT CHARLES AVE, DAYTON, OH 45410-3147
(937) 586-0435
(937) 890-5401
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1904068
OH
Other
Enumeration date
08/29/2019
Last updated
04/06/2023
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