DEALLEN JACKSON

COVINGTON, GA
NPI1487412920
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-03-11
Last Update Date2024-03-11
Business Address
DEALLEN JACKSON
2131 STALLINGS ST NW # 2832
COVINGTON, GA 30014-2351
Phone number: 770-895-2978
Mailing Address
DEALLEN JACKSON
2131 STALLINGS ST NW # 2832
COVINGTON, GA 30014-2351
Phone number: 770-895-2978
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