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1811467731
JESSICA JAMES DEFORE
SOUTHAVEN, MS
NPI
1811467731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-12-04
Last Update Date
2024-09-10
Business Address
JESSICA JAMES DEFORE
6858 SWINNEA RD BLDG 6B
SOUTHAVEN, MS 38671-9493
Phone number: 662-426-6136
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Mailing Address
JESSICA JAMES DEFORE
1493 BAKER RD
LAKE CORMORANT, MS 38641-9727
Phone number: 662-292-2252
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