Desha Laquessa Jackson
NPI #1013425537 in Cincinnati, Ohio
Provider Information
- NPI Number
- 1013425537
- Entity Type
- Individual
- Name
- Desha Laquessa Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jan 18, 2018
- Last Updated
- Jan 18, 2018
Practice Location
- Address
- 4968 GLENWAY AVE
- City
- Cincinnati
- State
- Ohio
- ZIP Code
- 45238-3902
- Phone
- (513) 853-6570
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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