Individual
JENNIFER LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 12TH AVE, EASTMAN, GA 31023-5500
(478) 231-3524
Mailing address
314 12TH AVE, EASTMAN, GA 31023-5500
(478) 231-3524
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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