Individual
JACLYN MICHELLE DITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
216 SETTLERS PASS, WAYNESVILLE, MO 65583-3151
(717) 422-4742
Mailing address
216 SETTLERS PASS, WAYNESVILLE, MO 65583-3151
(717) 422-4742
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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