Clarence A Jackson
NPI #1104304450 in Youngstown, Ohio
Provider Information
- NPI Number
- 1104304450
- Entity Type
- Individual
- Name
- Clarence A Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jul 30, 2018
- Last Updated
- Jul 30, 2018
Practice Location
- Address
- 8440 MARKET ST
- City
- Youngstown
- State
- Ohio
- ZIP Code
- 44512-6703
- Phone
- (330) 965-9999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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