ALEXIS MARIE JACKSON

FORT WAYNE, IN
NPI1831907666
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-12-26
Last Update Date2024-12-26
Business Address
ALEXIS MARIE JACKSON
601 NOBLE DR
FORT WAYNE, IN 46825-5544
Phone number: 260-420-9332
Mailing Address
ALEXIS MARIE JACKSON
601 NOBLE DR
FORT WAYNE, IN 46825-5544
Phone number: 260-420-9332