Individual
JACQUELINE MARIE PIERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
231 OAK MEADOW DR, ATHENS, GA 30605-4552
(706) 201-1193
Mailing address
231 OAK MEADOW DR, ATHENS, GA 30605-4552
(706) 201-1193
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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