Alfred Jackson, LSW

NPI 1750833414 · on the registry since 2016 · sole proprietor

Practice

Address: 6200 Rockside Woods Blvd N Ste 305
Independence, OH 44131
Phone: (216) 778-9390
Organisation at this address: Ohio Mentor, Inc
Ohio Mentor, Inc.
Integrated Medicine Of Ohio Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 63

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-09-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio