Individual
JACLYN MORRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PD, NCSP
Contact information
Practice address
1234 EVANS RD APT 1634, SAN ANTONIO, TX 78258-7007
(516) 639-6085
Mailing address
1234 EVANS RD APT 1634, SAN ANTONIO, TX 78258-7007
(516) 639-6085
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
901728
NJ
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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