JASMINE KENYATTA MACK

BROOKHAVEN, GA
NPI1780298604
Former NameJASMINE KENYATTA BARNES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-20-130813)
Enumeration Date2020-09-08
Last Update Date2020-09-08
Business Address
JASMINE KENYATTA MACK MS
3105 CLAIRMONT RD NE
BROOKHAVEN, GA 30329-1015
Phone number: 470-241-1353
Mailing Address
JASMINE KENYATTA MACK MS
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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