Individual
CAHRINA GEONYE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 WALNUT ST, WELLESLEY, MA 02481-2101
(603) 419-1035
Mailing address
9 ROWELL ST APT 2, DORCHESTER, MA 02125-4435
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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