Leslie Jackson M.A.

NPI 1780076745 - Chore Provider - 372500000X

NPI Details
NPI 1780076745
Gender Female
Enumeration Date 02/28/2015
Last Updated 02/28/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
18350 LAHSER RD
DETROIT MI, 48219-4326, US
Phone (313) 742-1777
Fax
Business Location
18350 LAHSER RD
DETROIT MI, 48219-4326, US
Phone
Fax
Toxanomy
Taxonomy Code 372500000X
License State
License Number
Remove 1780076745 NPI Number
 

According to our database, Leslie Jackson M.A. NPI is 1780076745, taxonomy code is 372500000X Leslie Jackson M.A. physically located at 18350 Lahser Rd, Detroit MI, 48219-4326. NPI Number Leslie Jackson M.A. has the Individual type.

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1780076745 NPI number is provided on an as is basis without warranty of any kind. 1780076745 is maintained by the National Plan & Provider Enumeration System. The contents of Leslie Jackson M.A. are for informational purposes only.