DOMINIQUE JACKSON

POWDER SPRINGS, GA
NPI1699544783
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-12-29
Last Update Date2023-12-29
Business Address
DOMINIQUE JACKSON
5330 RUTLAND CT
POWDER SPRINGS, GA 30127-4785
Phone number: 404-913-6337
Mailing Address
DOMINIQUE JACKSON
5330 RUTLAND CT
POWDER SPRINGS, GA 30127-4785
Phone number: 404-913-6337