Individual
JADE ACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
775 LEXINGTON AVE STE M, MANSFIELD, OH 44907-1906
(567) 560-2834
Mailing address
775 LEXINGTON AVE STE M, MANSFIELD, OH 44907-1906
(567) 560-2834
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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