KANESHA JACKSON

LITTLE ROCK, AR
NPI1922713999
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2023-01-13
Last Update Date2024-04-03
Business Address
KANESHA JACKSON
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210-5323
Phone number: 501-821-5500
Mailing Address
KANESHA JACKSON
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210-5323
Phone number: 501-821-5500
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