Individual
MS. JOHNNA LEANN DUNNING-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4284 SYCAMORE RD, CARTERVILLE, IL 62918-3285
(618) 521-6963
Mailing address
4284 SYCAMORE RD, CARTERVILLE, IL 62918-3285
(618) 521-6963
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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