MS. Lakeshia Michelle Jackson

NPI #1881954071 in Kearney, Missouri

Provider Information

NPI Number: 1881954071
Entity Type: Individual
Name: MS. Lakeshia Michelle Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 21, 2012
Last Updated: May 21, 2012

Practice Location

Address: 2205 BLUE BELL TER
City: Kearney
State: Missouri
ZIP Code: 64060-7313
Phone: (816) 588-1343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Case Manager/Care Coordinator	171M00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child	385HR2060X

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