Individual
MRS. DANA LASHELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1791 ALUM CREEK DRIVE, COLUMBUS, OH 43207-1708
(614) 445-8131
(614) 545-0232
Mailing address
1791 ALUM CREEK DRIVE, COLUMBUS, OH 43207-1708
(614) 445-8131
(614) 827-8380
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S0700900
OH
Other
Enumeration date
08/10/2016
Last updated
08/12/2016
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