CORDETTA LASHAWN JACKSON

SOUTHLAKE, TX
NPI1699418582
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: TX  RBT-18-16039)
Enumeration Date2022-04-18
Last Update Date2022-04-18
Business Address
CORDETTA LASHAWN JACKSON
2104 GREENBRIAR DR
SOUTHLAKE, TX 76092-8355
Phone number: 817-442-9022
Mailing Address
CORDETTA LASHAWN JACKSON
2104 GREENBRIAR DR
SOUTHLAKE, TX 76092-8355
Phone number:
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