Shayna Jackson

NPI #1861906638 in Mentor, Ohio

Provider Information

NPI Number: 1861906638
Entity Type: Individual
Name: Shayna Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Nov 30, 2017
Last Updated: Nov 30, 2017

Practice Location

Address: 9220 MENTOR AVE
City: Mentor
State: Ohio
ZIP Code: 44060-6412
Phone: (440) 639-3581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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