Lynette Jackson, LSW

NPI #1902116486 in Elyria, Ohio

Provider Information

NPI Number: 1902116486
Entity Type: Individual
Name: Lynette Jackson, LSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Oct 18, 2010
Last Updated: Aug 13, 2018

Practice Location

Address: 1530 W RIVER RD N STE 300
City: Elyria
State: Ohio
ZIP Code: 44035
Phone: (440) 610-0699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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