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Individual

LISA MIA JAMISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1690 LANDER RD, MAYFIELD HTS, OH 44124-3301
(216) 206-7758
Mailing address
4769 MAKAYLA CT, RICHMOND HEIGHTS, OH 44143-2879
(216) 288-8487

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
OH
385HR2050X
Respite Care Camp
OH
385HR2055X
Child Mental Illness Respite Care
OH
385HR2065X
Child Physical Disabilities Respite Care
OH

Other

Enumeration date
11/17/2025
Last updated
11/17/2025
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