Individual
CAMELA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8090 WALNUT RUN RD, CORDOVA, TN 38018-6362
(901) 308-7038
Mailing address
8090 WALNUT RUN RD, CORDOVA, TN 38018-6362
(901) 308-7038
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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