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Organization

CATALYST FOR CHANGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KESHA JACKSON MSW, LSW (SOCIAL WORKER/MH CLINICIAN)
(419) 807-8185
Entity
Organization

Contact information

Practice address
5151 MONROE ST STE 200, TOLEDO, OH 43623-3466
(567) 455-1401
Mailing address
6923 HEATHER COVE PL, MAUMEE, OH 43537-1062
(419) 270-0521

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
12/28/2020
Last updated
04/12/2021
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