Thomas Wallace Jackson
Thomas Wallace Jackson is a Case Manager/Care Coordinator in Canton, Ohio. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
400 Tuscarawas St WCanton, OH 44702-2044
Phone: (330) 612-1739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1205588670 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 26, 2022 |
| Last updated in NPPES | January 26, 2022 |
| Certification date | January 26, 2022 |
| Mailing address | 400 Tuscarawas St W, Canton, OH 44702-2044 |
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