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1427613306
CHERELLE TELITA MONTRICE JACKSON
LAKEWOOD, WA
NPI
1427613306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2019-05-06
Last Update Date
2020-12-01
Business Address
CHERELLE TELITA MONTRICE JACKSON
8811 S TACOMA WAY STE 204
LAKEWOOD, WA 98499-4595
Phone number: 612-702-4861
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Mailing Address
CHERELLE TELITA MONTRICE JACKSON
16522 39TH AVE E
TACOMA, WA 98446-1644
Phone number: 253-254-2462
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