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1285418087
JENNIFER LYNNETTE LACK
KENNETT, MO
NPI
1285418087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-08-22
Last Update Date
2023-08-22
Business Address
JENNIFER LYNNETTE LACK
1226 INDEPENDENCE AVE
KENNETT, MO 63857-1316
Phone number: 573-559-2380
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Mailing Address
JENNIFER LYNNETTE LACK
1226 INDEPENDENCE AVE
KENNETT, MO 63857-1316
Phone number:
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