LEEANN LYN TACKETT

FARGO, ND
NPI1770302143
Other NameLEE TACKETT
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-10-03
Last Update Date2024-10-03
Business Address
LEEANN LYN TACKETT
4152 30TH AVE S
FARGO, ND 58104-8524
Phone number: 701-364-2663
Mailing Address
LEEANN LYN TACKETT
4152 30TH AVE S
FARGO, ND 58104-8524
Phone number: 701-364-2663