LATRISSE N JACKSON

STOCKBRIDGE, GA
NPI1710726930
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-05-20
Last Update Date2024-06-04
Business Address
LATRISSE N JACKSON
137 SPINDLETOP WAY # 137
STOCKBRIDGE, GA 30281-7221
Phone number: 631-530-3900
Mailing Address
LATRISSE N JACKSON
137 SPINDLETOP WAY # 137
STOCKBRIDGE, GA 30281-7221
Phone number: 631-530-3900
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