BETHANY DAWN JACK

MAYSVILLE, KY
NPI1336413764
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
(Licence: KY  000083087)
Enumeration Date2012-03-02
Last Update Date2012-03-02
Business Address
Mrs. BETHANY DAWN JACK
382 BON HAVEN RD
MAYSVILLE, KY 41056-9702
Phone number: 606-584-0518
Mailing Address
Mrs. BETHANY DAWN JACK
382 BON HAVEN RD
MAYSVILLE, KY 41056
Phone number:
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