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Individual

JACLYN TERRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SSP, NCSP

Contact information

Practice address
11861 CHAMBERS DR, COMMERCE CITY, CO 80022-9334
(979) 236-6758
Mailing address
11861 CHAMBERS DR, COMMERCE CITY, CO 80022-9334
(979) 236-6758

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
261731
CO

Other

Enumeration date
06/23/2022
Last updated
06/23/2022
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