Individual
JALYSSA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6313 SPRINGBORO PIKE APT 37, DAYTON, OH 45449-3421
(937) 409-8489
Mailing address
199 S CENTRAL AVE, COLUMBUS, OH 43223-1301
(614) 273-2273
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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